Can a bifid nose tip and a little groove at the tip be fixed by bringing the cartilage together? (Photo)

Question

I mean the cartilage separation is more than normal. My question is, can this bifid tip problem be fixed just by bringing that cartilage together. I mean the groove can be completely removed or It will be there even after reducing the gap between those tip cartilages?

Lucian Ion, FRCS · Answer

The bifid nose tip is controlled by rhinoplasty surgery. However, the absence of the shadow of the groove will make the infra-tip appear wider unless the tip contours are also adjusted. You can test this by having an injectable filler treatment to control the groove in isolation. 
If you only have the cartilages brought together with sutures, there is a small risk that the underside of the tip may appear more curved- a columella overhang- because the lateral edges of the cartilages move down and they seem naturally wide. 
Depending on the shape you seek to achieve for the tip of the nose, a degree of repositioning and reduction in width of the cartilages seems adequate, combined with a supporting graft to control both the curvature and the smoother contour of the infra tip. 
Your surgeon should be able to evaluate and discuss these details with you.

Stefan Mark Szczerba, MD · Answer

Correction can be surgical (permanent) or non-surgical (temporary).  Surgical correction of the cartilage separation is performed during rhinoplasty.  Simply filling the groove with filler products like Juvederm can help fill the groove but does not adjust the cartilages; the product is temporary and needs to be injected by a experience injector familiar with nose injection every 1-2 years.  Seek out a board certified plastic surgeon experienced with noses.  Facial plastic surgeon in this case could be ok too.  Best Wishes!!

Zoran Potparic, MD · Answer

Yes, separated tip cartilages and bifid tip deformity can be corrected with adjustment of cartilages and resection of soft tissue of the tip. In person consultation with board certified plastic surgeon, expert in rhinoplasty, is recommended. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The bifid nature of your lower lateral cartilage can be fixed with surgery by suturing the cartilage together. Based on your photograph, you may also benefit from a tip refining rhinoplasty and 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. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Burak Alhan, MD · Answer

Hello,
A bifid tip can be corrected %100 percent with lower lateral repositioning,(to a degree),suturing the domes and a cap graft to the tip (ıf needed) and a shield graft(if needed) to infralobule. I would definitely choose the surgery over non-invasive procedures since a refinement in the tip would be more accurate than filling the space between cartilages to hide the bifidity,plus the surgery is a permanent solution. It is of course the best to discuss all those with a certified plastic surgeon

Brajendra Baser, MS, DNB, FRCS(Ed) · Answer

Bifid tip can be improved by Nasal dome approximation ,but many times a Cap graft is required to mask the bifidity ,skin has a memory and even after Alar cartilage approximation ,the tip bifidity may still be there

Peter Callan, MBBS, FRACS, MBA · Answer

Hi there.Yes a bifid tip is usually completely correctable if it is just due to the cartilage, which is normally the case. Looking at your photo suture sculpting of the alar or tip cartilages should improve the tip significantly.I hope this helps.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
A bifid nasal tip can be totally corrected by internal suturing the separated cartilages together. The gap can be totally eliminated. Some surgeons may add a small shield cartilage graft over the cartilages to buttress the repair.
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...

Can a bifid nose tip and a little groove at the tip be fixed by bringing the cartilage together? (Photo)

Answers (8)

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