I have a huge bulbous nose tip, it's long, has a bump and bridge is not straight. Suggestions? (photo)

The tip can be refined and elevated, and the dorsum can be refined through a closed rhinoplasty approach.  The fibrofatty content of the nose can be reduced as well.Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

From your limited photo and brief history, your concerns about the anatomy of your nose can be significantly cosmetically improved with a rhinoplasty.Keep in mind, that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on seeing 2 dimensional photos and without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the proposed operative procedure may not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

A standard closed rhinoplasty will most certainly refine and modify your aesthetic nasal problems. Because of your thick oily skin, you will only get a modification of your present bulbous nasal tip. Will it be better? YES Will it be perfect? NOIf your expectations are in line with your expected modification, you will be happy with the results. If you have false expectations, you will not be satisfied with the results.Consult a Board Certified Plastic Surgeon with an expertise in rhinoplasty.Best wishes

Thank you for the photos and obviously a full examination is needed.  From what you have sent I would suggest that you would also benefit from a chin augmentation to give better balance to your face, thereby making your nose appear smaller.  That said I would find a board certified PS or surgeons in your area that can take your photo and alter it digitally, with your input, until your see the result that you would like on your face.  Assuming that result is realistic, the surgeon would be able to fully inform you as to how it might be accomplished. 

Based on your photos, the following are my assessment:board nasal bridgedeviated bridge to the right with asymmetrical nostrilsdeviated tip - columella to the rightthink skin on the nasal tipbulbous with drooping tippossibility of septal deviation (not seen on photo but possible)small bump on the left of the tipchin forward deficiencyTo get the best result, all these issues have to be corrected by Septo-Rhinoplasty and Chin Implant. However, if your concern is the bulbous tip alone, this can still be improved by "refinement tip plasty" which will include removal of the excess fibro-fatty tissue, thinning out of the skin, enhancement of the tip framework by cartilage, upturning of the tip and removal of the bump by laser.

Hi,Bulbous tip rhinoplasty or ethnic rhinoplasty involves defatting of the tip, and cartilage grafting. This is possible but only with surgeons that are experienced in ethnic rhinoplasty. See links below.Best,Dr.S.