My bizarre bulbous nose; is there anything that can address the asymmetry? (Photos)

During my adult years my nose has become really bulbous and uneven. Perhaps I'm noticing it now because of the loss of volume in the rest of my face? Either way, I've noticed it is definitely crooked, I look like a different person from each side of my face. My bridge is really narrow, it's really the tip that bothers me. It's also super soft and flexible. It seems really odd. Is there anything surgically that can address the assymmetey and round-ness of the tip of my nose? I'm a 30 y/o female.

Doctor Answers 12


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You have the common concerns that patients have who seek improvement to their nose. The rhinoplasty will improve the tip and the overall aesthetics and appearance of your nose. You have enough cartilage to reshape the nose with suturing techniques

New York Plastic Surgeon

My bizarre bulbous nose; is there anything that can address the asymmetry?

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Thank you for your question, 

If you underwent a simple rhinoplasty or correction of nasal tip operation it means that your cartilage or bone structures are not excised. Since the manipulation is minimal; the edema will be minimal also. Nasal buffers will not be applied after these operations but only strip bandages. These strip bandages will be removed after 5th postoperative day. You can continue to do your daily work just after the procedure but we do not advise you heavy lifting or excessive exercise.

If you underwent rhinoplasty operation in which the bone and cartilage structures are also involved like concha hypertrophy, septum deviation or secondary rhinoplasty; then intranasal buffers will be applied in order to reduce the edema. These intranasal buffers will be removed after 5th postoperative day. You can continue to do your daily work just after the procedure but we do not advise you heavy lifting or excessive exercise. The more you rest, the faster your recovery will be.

Closed rhinoplasty, some advices:

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Thank you very much for sharing your concerns with us.

The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.

In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.
With this procedure you get a delicate nose, better harmonize with your other facial features.

Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 307 reviews

Is there anything that can address the asymmetry?

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If your nose is a distraction to you when you look in the mirror, or when you see yourself in photos and you find that it's a source of concern for you, than you have realistic motivations for rhinoplasty.

You may be an excellent candidate for a rhinoplasty to address all of the concerns you listed above. Do your homework and seek out a consultation with a Board-Certified Facial Plastic Surgeon or General Plastic Surgeon who has experience with rhinoplasty.

Best wishes!  Harry V. Wright MD, Sarasota, Florida

Harry V. Wright, MD
Sarasota Facial Plastic Surgeon

Bulbous tip, asymmetry

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Unfortunately you, like most people on here, take selfies which do not show a true lateral view. That lateral view is very important to show the relationship of the tip to the bridge.
I get the suggestion that the tip is not really bulbous (wide, like a ball). However, there is no differentiation of the tip from the bridge and there is no projection of the tip, above the bridge line. In addition, the  bridge may be too high, in the supratip area, 
A full rhinoplasty would corrected these issues and the asymmetric nostrils ( no one else really notices this amount of asymmetry).

Crooked tip

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Your nasal tip is also crooked as evident in the worm's eye view photo. You would need to be seen in person to properly evaluated you.

Rhinoplasty for crooked nose and bulbous tip

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 A rhinoplasty procedure can address reduction of the bulbous tip, straightening the nose, and de-projecting the bridge line. Asymmetric cartilage removal along with possible cartilage grafting techniques such as spreader graft placement can accomplish straightening the crooked nose. For many examples, please see the link and the video below


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Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. You may also benefit from decreasing the overall projection of your nasal tip. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

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

Tip plasty

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Nasal tip can be made smaller by reducing the cartilages and asymmetry can be addressed by the amount of cartilage being removed from each side. 


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Your nose is not bizarre or bulbous -- you can have changes made, you need a consultation with an experinced rhinoplastic surgeon. Talk about what you dont like and they will tell you what can be done. Most noses are slightly asymetrical .

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.