I have a bulbous nose. What are my options for getting a smaller more defined nose(tip as well)? (Photos)
Doctor Answers 8
- Thank you for the question. While your nose presents with the issues of excessive width and thick skin, you can see refinement and narrowing with tip cartilage resection and suturing remaining cartilage together. You can also carefully remove a cresent of ala, which will also help to narrow the width.
Thanks for the question. I do see that you have a slightly wide and bulbous nose. If you would like, a rhinoplasty can achieve a more defined tip, slightly narrower base, and more defined and higher bridge if needed (Need profile pictures). Depending on skin thickness, there may be a limitation to how much definition you get in the tip but it can certainly be made better. Get more information from consultations. Good luck
I have a bulbous nose, what are my options for getting a smaller and more defined nasal tip?
The bulbous tip is usually made smaller with a combination of suture techniques and conservative cartilage removal applied to the nasal to cartilages. Thick skin in the tip of the nose will be a significant impediment to seeing refinement in that area. Wide nostrils are narrowed within an alar-plasty. The wide bridge line is narrowed with osteotomies. For more information and many before and after rhinoplasty examples, please see the video and the link below
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Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. 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.
Harvard-trained plastic surgeon
Bulbous nose. What are my options for getting a smaller more defined nose(tip as well)?
Improving the cosmetic
appearance of the nose by making it a little smaller and refining its shape,
yet having the result look natural, is a frequent request from patients seeking
a rhinoplasty. Every
nose is different and unique to that individual. If the appearance of your nose
concerns you enough to do something about it, it can be improved with a natural
artistically performed rhinoplasty. What would be the best option and exact
procedure would depend on an in person examination (not just an online
consultation) and discussion about desired outcome. Excellent results can
be achieved with either a closed or open technique.
Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do and how to do it based on 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Rhinoplasty , some advices:
Thank you very much for the questions.
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, After having analyzed all the info. and photos provided to us, i recommend you perform an Open Full Rhinoplasty, includding narrowing of the nasal base and nostrils, with nasal bones treatment (controled fracture) and alar + triangular nasal cartilages re-shaping.
With this procedure you get a delicate nose, better harmonize with your other facial features.
Thank you for your question and photographs.
I would recommend that you schedule a consultation with a board certified plastic surgeon who specializes in rhinoplasty so they can perform a nasal examination and give you the best options. Based on your photographs, it appears that you could make some improvements with a rhinoplasty to thin out the bridge of the nose and refine the tip. This includes removing extra cartilage, trimming the lower lateral cartilages and placing precision sutures to refine the tip and make it look more pleasing and proportional to the rest of your face. Best of luck in your endeavors.
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
I have a bulbous nose. What are my options for getting a smaller more defined nose(tip as well)?
Based on your photos, you are a great candidate for Rhinoplasty surgery with tip refinement. Your thick skin will have some limitation on how refined the tip will be, but overall, I think you could have an excellent result. Consult with a highly experienced board certified plastic surgeon for an in person evaluation.
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.