Bulbous nose - I have a bulbous and flat nose a bit in the wide side. (photo)

The short answer to your question is YES.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.

Thank you for your question. It is certainly possible to reduce the bulbous nose and sharpen the tip via a Rhinoplasty procedure. I suggest that you consult with a single or double board certified facial plastic surgeon.Best wishes,

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.Respectfully,Dr. Emmanuel Mallol Cotes.-