How Can my Tip Be Fixed? (photo)

I had a nose fracture at the osteo-cartilagenous junction 3 yrs ago but dsnt bother me I like every little detail in my nose "the hump the irregularities Everything !" but the tip ! I think its too big for my bridge Is there a way to make it less rounded and smaller without increasing projection and upward rotation ? , and is it possible to make the tip on side view aligned with the part above it !? I'd like it more Sharp and petite

Doctor Answers 8

Tip rhinoplasty

yes you could make the tip look smaller without changing the rest of the nose - but if you do that i think your nose will look very out of banalance- especially on the side  view.  i think it will make your hump look even bigger.


and yes you could "make it alighend with the part above it" (although i think you are actually talking about more tip projection when you say this.  - i agree with this goal.  your tip is slightly underprojected, slightly - but because of itm the hump looks more prominant than it should and the supratip break looks deeper.


overall you have a complex nose with complex desires - you need an in person evaluation with proper discussion of expectations and rationale.

Austin Plastic Surgeon
4.9 out of 5 stars 57 reviews

The nasal tip can be adjusted with a limited "tip" rhinoplasty

You have accurately assessed your nose. Your tip would look nicer if it were more refined. A tip rhinoplasty can accomplish this and better align your nasal cartilages without dramatically changing the overall chape of your nose.

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 39 reviews

Fixing the Nasal Tip

Your tip can be reduced with the limitations you describe. You do want to achieve good proportions within the different parts of your nose. An experienced surgeon will help you establish reasonable goals before surgery.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews


Dear Luna,

  • Yes, everything you asked for is possible
  • It is all part of the consultation process so that you are happy with your nose afterwards
  • The surgeon can also morph a picture for you to give you a better idea of what the nose will look like

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 reviews

Tip refinement is a soft triangular shape

It is certainly possible to attain an improved, refined tip while minimizing the changes to the other features of the nose.  The cartilages can be adjusted so they take on a smoother and more triangular shape (rather than round).  Alignment to the bridge on the profile would best be done by refining the tip and lowering the hump so your bridge is straighter.  Please refer to the video attached to learn more about my approach to the tip. 

David W. Kim, MD
Bay Area Facial Plastic Surgeon
4.8 out of 5 stars 37 reviews

Tip plasty

It is not advisable to perform only a tip plasty on this nose since the tip would look grossly out of proportion to the remainder of the nose. A full rhinoplasty, and not a tip plasty, would result in excellent nasal balance.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

How Can my Tip Be Fixed?

You need in person evaluations but my recommendation is a full reconstructive rhinoplasty. Seek these opinions. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Tip refinement

Tip refinement can be performed, but a thorough exam in person is essential to review things and examine you. Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

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.