Can I fix the “squishy” end to my nose? Follow-up question (Photo)

hello thank you for your question and provided information as well... based in your question and the picture you showed you are a good candidate for rhinoplasty , in your case with technique open and elevate the tip.

Hey there,
Thank you so much for sharing your photos with us. You can achieve great results with a rhinoplasty operation done at the hands of an certified, experienced expert. The leaning towards left, the radix and the bump can easily be fixed. 

Video imaging is a good way to determine what the patient wants out of a rhinoplasty. It's informative for both the patient as well as the surgeon. The aesthetic desires of the patient may not be accomplish able in the operating room and this would be explained by the surgeon.

First, the bump on the bridge. Yes, the bump can be removed, but there are some caveats to that. Often, when a bump is removed from the bridge, it makes the nose *look* longer, as though the tip had drooped. So we often elevate the tip, to offset that perceived change, even if a droopy tip wasn't a complaint originally. 
The woman in the short video that I posted with this answer had a bump somewhat like yours. However, the bottom of her nose points up a bit, and the bottom of your nose -- the line from the corner where the lip meets the nose out to the tip -- your bottom part is somewhat lower, parallel with the ground. You don't have to raise the tip like a miss piggy nose, but if the tip isn't elevated a touch, and the bump is removed, your nose would look too long, and you'd be trying to figure out why it looks worse without the bump.
I'd love for you to see some excellent morphs of what could possibly be done with your nose. 
Then, that tip. We don't change noses because they are "squishy," but rather if, for example, the cartilages are making the tip wide. Or asymmetric. I see how the tip of the nose seemed to curve to the side in one smiling photo, but it doesn't seem to do that in photo #1. Hmm. Although, these photos still aren't well-posed for a great evaluation.
If the tip is squishy because the cartilages are soft and the skin is thick, then there's really nothing that can be done about it.
Hope I'm being more helpful than confusing.
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

Hello. Great question. Thank you for all of your pictures. Based on your images, a rhinoplasty procedure will benefit you in order to reduce your hump and the end of your nose that concerns you. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

Hello,Thank you for your question. Based on your photos you may benefit from the dorsal hump removal, augmentation of your radix and tip refinement with up lifting for a more feminine look. The technique developed by me called as the Dorsal Roof Technique allows treatment of
the low radix while preserving the dorsum. Inserting a bone chip or cartilage
graft between the dorsal bone-cartilage complex and ethmoid bone allows the
radix to move up; with lowering of the hump, this technique works in a
seesaw-like manner creating a nice forehead nose pass. Breathing issues can be fixed as well. Alar flaring can be fixed by the alarplasty to catch the harmony between the dorsum and the tip. A beautiful and natural looking nose, that suits your face can be achieved by the help of the Closed and Atraumatic Rhinoplasty, which minimizes swelling and bruises, maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more please click on the attached link.  

Best Regards

Based on these photos you seem to be good candidate for rhinoplasty. In person consultation with an expert in rhinoplasty, board certified plastic or ENT surgeon, to discuss goals and options is recommended. We use Crisalix 3D imaging to help patient and a surgeon in visualization and planning. Good luck.

Based on your photos, you look to be a good candidate for rhinoplasty which can reduce the dorsal hump as well as refine your tip.  I recommend you schedule a consultation with a plastic surgeon.  Often times, they will be able to morph your photos to give you an idea of realistic post surgical expectations. 

Thank you for your question. Yes, a rhinoplasty will address your concerns and the nose can overall become more refined without having drastic changes. From the photos you provided, you may benefit from a rhinoplasty including dorsal hump reduction and tip refinement. I encourage you to see a board-certified rhinoplasty expert for a consultation to discuss your goals and whether or not your expectations can possibly be met. Best wishes,Thomas Walker, MD, FACS

Hello and thank you for your question. Thank you adding more pictures.  Based on your photographs, you may benefit from a tip refining rhinoplasty which can be performed by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from a cephalic rotation of your tip to turn up your tip slightly and a dorsal hump reduction.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon.

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon