Nose has a bulbous tip, flares when I smile or laugh - Would a rhinoplasty/tip plasty be good for me? (Photos)

Question

Hi. Just wondering, would I be a good candidate for a rhinoplasty or a tip plasty? I feel like my nose is too big for my face and the tip is a little bulbous and also flares when I smile or laugh.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have relatively thick nasal skin, along with a wide nasal appearance in the upper middle and lower thirds of your nose. You also may have a bit of droopiness of your tip with smiling. If you have severe dissatisfaction with your nasal appearance, I would suggest Consulting with several reputable rhinoplasty specialists so you can see what to expect after moving forward. I hope this helps you! Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos a bulbous nasal tip with dynamic flaring when smiling or laughing can be improved with a tip plasty or full rhinoplasty. Tip plasty focuses on refining the cartilage to create a smaller, more defined tip and reducing alar flaring. If you also wish to adjust nasal size or profile, a full rhinoplasty may be more appropriate. Both procedures can provide a balanced appearance and address the flaring by modifying tip support and soft tissue.
It would be better face to face consultation.
Best Regards!

Gary M. Horndeski, MD · Answer

I recommend a rhinoplasty. The bone-cartilage junction at the dorsum of the nose is widened and needs to be taken down, the nasal columella angle needs to be slightly increased and the tip needs to be refined.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Tanveer Janjua, MD · Answer

Your nose is primarily large in its lower part. That is from a bulbous tip and large nostrils that flare when smiling. 
You can have the lower half of the nose (tip and nostrils) addressed without breaking the nasal bones. Tip-plasty can address the bulbous tip either through closed or open approach to make it narrow and refined.
Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty.
 Both of these can be done under local anethesia.
Watch the video link below.
Regards
Dr. J
You can have the lower half of the nose (tip and nostrils) addressed without breaking the nasal bones. Tip-plasty can address the bulbous tip either through closed or open approach to make it narrow and refined.
Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty.
 Both of these can be done under local anethesia.
Watch the video link below.
Regards
Dr. Janjua

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Nose has a bulbous tip, flares when I smile or laugh - Would a rhinoplasty/tip plasty be good for me? (Photos)

Answers (5)

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