Is it possible to just correct the tip of my nose without touching the nasal bone? How much would that procedure cost? (Photo)

Question

The tip of my nose does not seem to fit with the rest of my face. It is very rounded, droopy and my nostrils are a little too big for my preference. I also have an indent in the center of my tip.

Karan Dhir, MD · Answer

I believe you are candidate for nasal tip reshaping for the goal of refining the nasal tip with tip narrowing maneuvers, improving the cleft (or indent) of the nasal tip and projecting the nasal tip forward and upward slightly to support the nasal tip.  This will need small amounts of cartilage for grafting.In regards to the  nostrils, it is possible to bring nostrils inwards, but the width is often improved by projecting the tip and I would recommend you consult with your surgeon to discuss this once a proper physical examination is performed.  Please consult with a board certified facial plastic and/or plastic surgeon.  Good luck.

Kenneth Hughes, MD · Answer

The tip and nostrils can be improved or refined.  However, it is important to maintain nasal balance as a whole.Kenneth Hughes, MDLos Angeles, CA

Jose Barrera, MD · Answer

Rhinoplasty means changing the shape of the nose. Projection and refinement of the nasal tip can both be achieved without touching the nasal bone. However, these 
details should be left up to an experienced facial plastic surgeon. 
Finding the right surgeon is the key to a successful operation.  The cost varies within your region and surgeon. Take a look at realself reviews and cost info.

Anand G. Shah, MD · Answer

Hello.  Your request to modify the nasal tip is reasonable.  Please understand that additional maneuvers may be necessary to give the new tip "balance" and present an overall aesthetically pleasing nose.  You may wish to consult with a surgeon and review your concerns; studying the surgeon's before and after photos of patients with issues similar to yours may assist in the decision making process.  Hope this is helpful.  Best wishes to you.  Dr. Shah

R. Laurence Berkowitz, MD · Answer

I find more patients choosing tip only surgery over the years.  It is perfectly reasonable but the surgeon must have a clear plan to match that tip with the large bridge.  It can be done, camouflaging the separation of the tip cartilages and with limited reduction but it takes a measured hand.  I would suggest addressing what the financial arrangement would be if you later wished to change the boney portion of your nose. This will avoid misunderstandings in the future.

William H. Sabbagh, MD · Answer

This is a good question.  I have looked at your pictures and see what you are concerned about.  I also notice that it appears that your bridge is a little too high.  In general it is best to do something to each part of your nose, Bridge, bones ,tip and sometimes nostrils, to achieve a natural appearance.  This is because doing something to one part changes more than just that part.  If a person has a large bump on the bridge and this is removed then the bridge looks wider and this requires the nasal bone to be narrowed to narrow the bridge. If the tip is narrowed and lifted the bridge usually also needs to be lowered to obtain a nice profile.  During a consultation the surgeon would explain what will address your concerns but also what will be necessary to give you the best result.  I think you can get a very nice result if you do your nose but it would require more than just addressing the tip.  Hope this helps.

Steven Wallach, MD · Answer

Your tip is bifid and tip work can be done to improve this. I will say that in your photos it also looks like the upper 1/3 is wide. An exam in person is key.

Curtis Perry, MD · Answer

The photos availble suggest that changing the tip alone would achieve some improvement. But a "full" rhinoplasty that addresses both the tip and dorsum of the nose would allow for the best aesthetic result.

Barry L. Eppley, MD, DMD · Answer

You have a bifid or split nasal tip cartilages which makes the tip of your nose disproportionate to the upper half. A tip rhinoplasty procedure can be done to bring the cartilages together and reshape the tip of the nose without any change to the nasal bone area.

William Portuese, MD · Answer

In the far majority of cases, a full rhinoplasty is required due to the relationship of the tip and the bridge. The bulbous tip is reduced with suture techniques applied to the lower lateral cartilages.  When performing only a tip rhinoplasty, the dorsal hump will still be present, and the nose will look only half done and out of balance. It is very important to make sure that all the components of the nose balance with each other, and the entire nose balances with patient's facial features.  For many examples and our price list, please see the link and video below

Is it possible to just correct the tip of my nose without touching the nasal bone? How much would that procedure cost? (Photo)

Answers (17)

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