Downturned tip? Please do not recommend dorsal hump reduction (Photo)

Question

I really do not like the way my tip pulls down and looks bulky when I smile but I like the length of my nose and my small bump, I like having a prominent nose and I am not interested in completely changing the character of it. I just really do not like the lower third when I smile and want to know what, if anything, I can do about this? Thankyou

Jeffrey M. Darrow, MD · Answer

Yournasal tip appears to be in good position when you are not smiling, but is pulled down when you are smiling. If you gave your nasal tip additional support, with either a septal extension graft or a columellar strut, this would resist the downward pull when you smile and maintain your tip projection. No change to your nasal dorsum would be required. A small piece of your septic cartilage would be required. Speak to your plastic surgeon about these options.

John Michael Thomassen, MD · Answer

A tip rhinoplasty can be done to refine your tip without touching your dorsum.  A strut graft will support it so it does not descend when you smile.

Eric M. Joseph, MD · Answer

Since you like a prominent nasal profile appearance, after tip rotation, it would be important to keep the projection of your nasal tip so that your bump would become invisible. Consider visiting several reputable rhinoplasty specialist so you can see what to expect moving forward. Thank you for your question. Sincerely, Dr Joseph

Oakley Smith, MD, FRCSC · Answer

Hi, For sure you can do it, but It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the expected outcomes.

Zeshaan Maan, MD · Answer

It’s very possible to refine and reposition the tip without changing your dorsum or making your nose smaller. I recommend seeing a rhinoplasty surgeon for consultation to discuss your options.

Downturned tip? Please do not recommend dorsal hump reduction (Photo)

Answers (10)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Tip rhinoplasty

Answer: Tip rhinoplasty

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Downturned tip? Please do not recommend dorsal hump reduction (Photo)

Answers (10)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Tip rhinoplasty

Answer: Tip rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.