Bulbous nose - I have a bulbous and flat nose a bit in the wide side. (photo)
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Doctor Answers 9
Asian rhinoplasty can address a bulbous nose
A bulbous nose can be treated very successfully with Asian rhinoplasty. The soft tissues of the tip are usually very thick, so aggressive debulking or excision of the soft tissues may be needed to give definition to the tip. Also, the nasal tip is supported by nasal cartilages, which in the Asian nose, has a more upward axis than that seen in the Caucasian nose. A bulbous nose is thus the result of the bulk as well as the arrangement of the nasal cartilage in Asians. To refine such a nose, these will be carefully trimmed and in more severe cases rearranged with techniques that maintain the function of the cartilages while reducing the fullness of the nasal tip.
The general outline of an Asian nose is more of an isosceles triangle compared with a Caucasian nose. The base and bridge of the Asian nose tends to be wider, while the length of the Asian nose (from nasion to tip) is slightly shorter. Maintaining this shape when performing Asian rhinoplasty is key to achieving successful results where the nose still looks as if it is ethnically in balance with the overall facial features. It would be best for you to consult with a board certified surgeon and have computer imaging done so you can see what your nose will look like after surgery, should you decide to have this procedure
Closed rhinoplasty candidate, some advices:
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.-
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Bulbous nose to be refined and narrowed
- It is very possible to make the nose look cuter while still looking Asian
- You would also have to narrow the nasal bones to match your new tip
- When you are ready, visit a few rhinoplasty specialists who can address all of your concerns
Asian Rhinoplasty for bulbous Asian nose
Rhinoplasty for bulbous tip reduction
Asian Rhinoplasty - Is It Possible To Get Tip Refinement Without Getting A Super Narrow Nose?
Tip refinement very often is the major, if not only, portion of the Asian nose that needs surgical enhancement. It has been my experience that part of the reason for the flat tip on Asian noses is due to a short collumella, that little piece of skin that separates the two nostrils.
To improve the appearance of the tip, in my practice, I take cartilage from the ear and place it in the collumella to stretch it out. This also, if placed correctly, will give a single point of light on the tip of the nose which is much more aesthetically pleasing than a broad flat tip. Partial resection of lower lateral cartilages can often thin that portion of the nose that flares out toward the cheek. Finally, wedge resection to narrow the nostril flare is very often done, but this at times leaves a flat lean-to effect which can be corrected by a cerclage suture through the upper lip. This was first described by Dr. Ron Gruber of Oakland, California.
I recommend you contact at least two or three of the excellent Board Certified plastic surgeons in the LA area who show before and after pictures of well done Asian rhinoplasties on their websites.
Refining a Bulbous Tip
Bulbous Tip and Flat Nose
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.