Why is the tip of my nose is deformed, and what can I do about it? (Photos)

Question

I can clearly see the septal cartilage bone, the skin does not cover it properly, its leaned to one side and this makes my nose look weird. One side is more bulbous than the other. It looks like my nose is leaning to one side. What can i do about it, to make it orderly(regular)+question: I think that my nose seems big, because its stick out from my face too much, or because the tip is bulbous. Can you please give me your opinion about it, as it seems like I'm the only one who thinks that, I'm confused.

Ronald J. Edelson, MD · Answer

What you are pointing out is what is referred as a hanging columella. The columella is the part between the nostrils. The lower end of the septal cartilage is pushing the columella down and is sticking out of the right nostril. Very simple to fix, but it is surprising how many surgeons either ignore it or try to approach it with complicated solutions such as cartilage grafts. As part of an overall rhinoplasty the hanging columella is corrected by removing the excess cartilage at the lower end of the septum as well as nasal lining.

Caner Kacmaz, MD · Answer

Thank you for your question i would recommend operation using the latest Ultrasonic Rhinoplasty device Piezo®: 
In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient.

Andrew Miller, MD · Answer

From the photos, you appear to be a great candidate for rhinoplasty. Your septum is deviated to the right which accounts for the asymmetry at the base of your nose. This can be made straighter and you nose refined so it looks smaller, but natural at the same time. Be sure to see a rhinoplasty specialist for consultation.

Tanveer Janjua, MD · Answer

The nasal septum is deviated towards right and needs to be fixed. You have a bulbous tip and need tip plasty. Rest of the nose is good.
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

Zoran Potparic, MD · Answer

Your observations are correct; these small discrepancies are frequently seen in patients seeking rhinoplasty. In person consultation with a board certified plastic or ENT surgeon with good reputation in rhinoplasty will help to discuss your goals and options. Good luck.

Leo McCafferty, MD · Answer

Thank you for your question.  I don't think your nose is deformed at all.  You have a normal variant with a wide tip and a wide nasal bridge.  A rhinoplasty can address your concerns by reducing the tip, reducing the overall size of your nose subtly and narrowing your nose subtly.  I would urge you to see a board-certified plastic surgeon experienced in rhinoplasty to discuss your concerns.

Alexander Ovchinsky, MD · Answer

Hello,
You are absolutely correct in your observations. The end of your septal cartilage is deviated to the right side displacing the columella of the tip to the left side and making it appear asymmetric. This type of septal deviation may also lead to difficulty breathing through the nose. 
Your nasal dorsum is deviated to the right side and appears wide on frontal view. The nasal tip is slightly bulbous and overprojected (sticks out too far). In order to properly correct all of the above, you would need a septorhinoplasty surgery. These issues with the nose are fairly common and usually result from prior nasal trauma or developmentally. No matter what the cause is, the treatment is the same (surgery). Your next step should be consulting a rhinoplasty specialist to get a full exam and discuss all the surgical details.

Csaba L. Magassy, MD (in memoriam) · Answer

the problem is a deviation of your nasal spine and cartilagenous portion of your septum..A Septo-Rhinoplasty performed endo-nasally will probably give you a very satisfactory result

Why is the tip of my nose is deformed, and what can I do about it? (Photos)

Answers (8)

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