What can I do to improve the shape of my nose tip? (Photo)

Question

Hi, I posted previously but I wanted to use better pictures. I am insecure about the tip of my nose, i feel that it causes my nose to look droopy and downturned. I like big and unique noses, but not mine. I do not like the shape around the tip or how downward it is. People say I look like a horse. What Can i do?

Donald Groves, MD · Answer

Hello and thank you for your question. I actually just answered your same question from 9/25/23. I am copying the answer to here as well, that way others with similar questions can easily find the response.
It sounds like your biggest concern is your nasal tip, which is a little bulbous and drooping, as you mentioned. Addressing the shape of the nose (particularly the nasal tip) is one of the most common reasons people seek out and undergo a rhinoplasty. Many people complain that their nasal tip is too "bulbous" or "boxy" or just poorly defined, and that they would like their nose to be smaller, cuter, more defined, or more feminine. An open septorhinoplasty can best address the entire nose, and is particularly effective for addressing the tip shape and size. 
In addition to addressing your aesthetic concerns, your septal cartilage would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent recurrence of the drooping.
The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. That said, I would recommend only going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible. 
Regarding the anesthesia, my personal preference is similar to most- full general anesthesia to assure the most controlled environment and facilitate the best possible aesthetic results for such a complex procedure. Everything ultimately comes down to surgeon and patient preference, so always have the conversation with your surgeon so you both know exactly what to expect, and so you both feel comfortable with how the procedure will be performed prior to proceeding. 
Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided. I recommend for you to come see me or another plastic surgeon comfortable with rhinoplasty procedures for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps! 
Best wishes, 
Dr. Donald Groves 
Plastic Surgeon

Oakley Smith, MD, FRCSC · Answer

Hi , rhinoplasty can enhance the size , width and tip to achieve better nasal profile. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

Caner Kacmaz, MD · Answer

Good afternoon samc231999
You are a great candidate for Piezo rhinoplasty. With this technique, the base of your nose can be narrower, and the projection of your nose can be reduced. Once some cartilage from the tip is removed, the bulbousness will tremendously improve. This will give you a more feminine look and complement your facial features. Best of luck to you.

Eric M. Joseph, MD · Answer

In our opinion, the best way for you to visualize what to expect after rhinoplasty is to visit a reputable rhinoplasty specialist who offers computer Imaging. When you see morphed photos of your face with a different nasal configuration, it's a good way to determine whether or not surgery would be right for you. I hope this helps! Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos you have a facial asymmetry and it cannot be fixed with any surgeries. However, your nose is very droopy and tip of your nose is very undefined. With rhinoplasty surgery you can have more defined and elegant nose. Please keep in mind that %100 symmetry is not achievable in any cases. Best Regards!

What can I do to improve the shape of my nose tip? (Photo)

Answers (7)

Answer: Rhinoplasty may be considered for improving a wide droopy nasal tip appearance.

Answer: Rhinoplasty may be considered for improving a wide droopy nasal tip appearance.

Answer: Rhinoplasty

Answer: Rhinoplasty

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What can I do to improve the shape of my nose tip? (Photo)

Answers (7)

Answer: Rhinoplasty may be considered for improving a wide droopy nasal tip appearance.

Answer: Rhinoplasty may be considered for improving a wide droopy nasal tip appearance.

Answer: Rhinoplasty

Answer: Rhinoplasty

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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.