Is my nose bifid, bulbous or both? Could just tip rhinoplasty fix it? How much would that cost in Nashville? (Photo)

Question

I hate my nose. Always have. It looks like someone rolled up putty and shoved it up my nose. The tip is squared, does not blend into the sides of my nose and clearly asymmetrical from all angles. It's cleft down the middle of the tip. My assumption is that it's both bulbous and bifid. Would just a tip rhinoplasty fix me? What is the cost of that procedure in Nashville and who is the "nose" plastic surgeon in my area?

James Shire, MD · Answer

You do have a wide, boxy nasal tip that can be corrected. The most important first step is to consult with an expert in rhinoplasty. This is a doctor with experience, and one who performs many rhinoplasties on a regular bases.You should feel comfortable with the surgeon and  look at the doctors results.

J. Kevin Duplechain, MD, FACS · Answer

It does appear there is separation between the mesial crura which are the cartilages that provide support to the lower third of the nose.  Rhinoplasty surgery to improve this would likely involve more than tip work, as one  surgical maneuver often leads to another until everything is as it should be.  Pick a surgeon who understands your goals, and can demonstrate a couple of examples of his surgical cases.  good luck

Stephen Weber MD, FACS · Answer

Yes, your nasal tip is bifid and boxy. A tip rhinoplasty can address the size and shape of the tip. Your front on photo suggests that your nasal bridge might be crooked but this could just be the lightning. Your profile also suggests that the upper part of your bridge might be too low. A tip rhinoplasty will address the tip but straightening the nose or raising a low bridge would require a complete rhinoplasty. Cost is typically between $7000 - 10,000 for a skilled rhinoplasty surgeon which is what you deserve. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. This is your lower lateral cartilage you are seeing and you have what is referred to as a boxy tip.  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. 
 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

Andres Bustillo, MD, FACS · Answer

You nasal tip is bifid (meaning it has a cleft between both tip cartilages and boxy (appears boxy from the bas view). This can be improved with a rhinoplasty procedure.

Is my nose bifid, bulbous or both? Could just tip rhinoplasty fix it? How much would that cost in Nashville? (Photo)

Answers (10)