Side of nose tip collapse? (Photo)

Question

It's really started to bug me for years that the tip of my nose on the side has collapsed causing it to protrude on my side profile. I'm wondering what could cause this and is rhinoplasty the only way of fixing this issue. I've had people in the past mention my crooked and bumpy nose and it makes me feel super insecure.

Bora Ok, MD · Answer

Hi from Istanbul! It seems like you have an excess projection on the tip, a nasal hump and weak lower nasal septum cartilage. As for the issue you're talking about, genetics may have caused this, or there may have been a facial trauma during childhood that went unnoticed. A proper rhinoplasty can fix all these issues, and create a natural-looking nose that would suit the rest of your facial features. Hope this helps, best of luck to you!

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a slight indentation along the left side wall of your nose that could be creating a crooked nasal appearance. On profile, your nasal tip appears to stick out a bit too far, and this is associated with a dorsal hump. Goals of rhinoplasty surgery may be a narrower and straighter nasal appearance on front view, with deprojection and hump removal on profile for a less distracting, and more feminine nasal appearance. I hope this helps! Sincerely, Dr Joseph

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.
What you are describing at it concerns you is not a collapse of any sort. The front view shows a combination of deviation of the nasal bridge to the right in the lower segment and a wider appearance of the tip compared to the bridge.
The net effect is that on three-quarter view, there is a contrast between the bridge and the tip which is more noticeable from your right side.

In general, rhinoplasty provides the most comprehensive and balanced improvement in a situation like this.

It is however possible to produce a smoother contour of the junction between the nasal bridge and the nasal tip using injectable fillers. This approach leads to a slightly fuller appearance of the nose on the front view but could represent a reasonable solution from your perspective.

Computer simulations can help to understand the kind of change that you would be able to achieve using fillers or using surgery and assist you with your decision.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photo has the appearance of a broken nose and also you have a nose bridge for get rid of this image I recommend you rhinoplasty surgery. It would be better face to face consultation.Best regards!

Gary M. Horndeski, MD · Answer

You will need a rhinoplasty to correct the area of deformed contour and the dorsum is leaning toward one side.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

I think you are a good candidate for rhinoplasty to reduce the bump and make it smaller. The issue you point out is hard for me to appreciate from the photos.

Tanveer Janjua, MD · Answer

It is normal for the tip of the nose to change over time is normal. A tip-plasty is the answer.
Tip-plasty
Tip-plasty is a great procedure to address a bulbous tip only and leave the rest of the nose alone. It can be accomplished through an open or closed approach. The goal is to refine the tip and make it smaller and smoother. 
In tips with strong cartilages but thin skin, all that is needed is removing some of the cartilage and softening the rest by gently crushing it (morselizing). 
In tips with thick skin and lot of soft tissue or fat, the excess fat and soft tissue is removed along with removing some of the cartilage.
Click on the video link below.
Regards
Dr. J

Mats Hagstrom, MD (license on probation) · Answer

If the shape of your nose bothers you enough that you’re willing to have surgery then you may be a good candidate for rhinoplasty surgery.
No one has to have cosmetic surgery, so the decision is entirely up to the individual, and this varies greatly from person to person.
Making comments on someone’s facial appearance is highly inappropriate, and I would question your relationship with people who make such remarks.
Sometimes fillers can be used to enhance the appearance of the nose with substantial improvement it done by skilled providers.
Generally speaking, standard approach is rhinoplasty surgery. Rhinoplasty surgery is not one operation, but rather a very general term for many different operations used to correct each different aspect of the nose. The nose is usually divided into subunits, and each subunit has a variety of procedures that can be applied to get the desired outcome.
Rhinoplasty surgery it’s really complex and patient should be highly selective when choosing providers choosing plastic surgeon who have extensive experience for those who focus their careers exclusively on this type of surgery if possible.
With rhinoplasty surgery, revision rates are slightly higher than other procedures, and secondary surgeries are considered far more complex and difficult than primary rhinoplasty’s.
If you decide to move forward and have surgery and provider selection is probably the most important variable.
To help find the best provider I suggest patient consider scheduling multiple in person, consultations with plastic surgeons, who seem to have a strong track record for rhinoplasty surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of the previous patient who had similar Nasal characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best result of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
When, in doubt, slow down and schedule more consultations.
No one has to have cosmetic surgery.
Best,
Mats hagstrom MD

Side of nose tip collapse? (Photo)

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