Easiest way to correct loose cartilage at tip of nose?

Question

I'm not sure if it's cartilage, but a few years ago I was boxing and I think that's what caused the tip in the left of this nose pictured to stick out more than the other side. If i press both sides I can feel the left side of this picture go back, almost like it is popping back into place. Do I have to have surgery to fix this? What would I have done, just cut that off to make it more symmetrical? Bonus question: Do you think I would look better if I made the part just above the tip wider?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.   What you are seeing is likely cartilage.  Based on your
photograph, you may benefit from a tip refining rhinoplasty.  You may also benefit from a cephalic rotation
of your tip to turn up your tip slightly.  Make sure you specifically look at
before and after pictures of real patients who have had this surgery performed
by your surgeon and not just a computer animation system.
The most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Tanveer Janjua, MD · Answer

Trying to fix the loose cartilage can change the shape of your nasal tip in a negative way. At present your nose looks good so it is best to leave it alone. RegardsDr. Janjua

William Portuese, MD · Answer

Surgery is not required to correct loose cartilage at the tip of the nose. If you're trying to widen the nasal tip area, consider placement of spreader grafts in that area to widen the nose. These grafts are harvested from  cartilage on the inside of the  Nasal septum.  Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. For more information and many examples, please see the link and of the video below

Richard W. Fleming, MD (retired) · Answer

It is difficult to answer your question with just one view of your nose. I suggest you submit a full set of pictures for nasal evaluation as described on my website. It would be ideal for you to take the time to be examined by a rhinoplasty specialist because I'm sure you have many options such as just repositioning the tip cartilage and suturing it in the correct location.

Easiest way to correct loose cartilage at tip of nose?

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