Can a tip plasty avoid any possible breathing issues that can come from a full cosmetic rhinoplasty?

It is improssible to give you good advise without any photos. In general, rhinoplasty should not create breathing problems if proprely planned and performed! Tip refinement surgery only may be usefull in very few patients and very frequeently additional procedures on the dorsum, base and septum, may be needed to create most favourable result. Only on the basis of in person consultation, an experienced, board certified plastic surgeon, expert in rhinoplasty, may give you more accurate plan of tretment. Good luck.

Hello and thank you for your question. A procedure limited to just the tip of the nose could definitely address your concerns, and is probably less likely to cause breathing issues when compared to a full rhinoplasty. That being said, breathing issues after tip-plasty still can occur, so it is good to be aware of this possible risk. Rhinoplasty in general is not a skin procedure. The surgery addresses the bone and cartilage beneath the skin, and the skin simply drapes over the new framework that was created. The thickness of the skin can limit the amount of change that is able to be made.

At what stage do you have a breathing problem? In which area does the narrowing occur? It is not possible to say anything definite without knowing the answers to these and similar questions. It would be a better choice to make a decision after the examination.

Thank you for your question.

In terms of functional issues, a tip plasty can also influence negatively the internal valve either through the position of the cartilages or the scar tissue that forms in that region.

In most instances, the nasal airway is preserved relatively well and the nasal airway can sometimes be better then before surgery even with a tip plasty.

However, it also depends on how much change you would like to achieve from the tip plasty.

To control the droopy tip, strong support is needed and this is most often sourced from the nasal septum

Short answer is yes- the risk of complications, in general, should be less with a tip plasty.
A more complete answer, however, is that a properly done rhinoplasty or septorhinoplasty should not cause any breathing issues. If anything, your breathing should improve after swelling has resolved. There are two main 'valves' that control airflow within the nose. The external valve (which is basically located at the nostril rim and columella) could be affected even during a tip plasty. The internal valve is further up within the nose and should not be affected by a tip plasty, but could be during a more extensive rhinoplasty.
A drooping tip can be corrected with a tip plasty (with grafts to support the tip), but an overall facial and nasal aesthetic assessment really is needed to determine what is best. Thick skin often increases swelling and recovery time, but otherwise can have just as nice a result as with thinner skin.
Hope this helps!

Tip rhinoplasty usually does not compromise the internal valve, the narrowing of which so often is caused by a poorly thought-out cosmetic rhinoplasty. However thick skin can easily hide any refinements made to the tip cartilages. Most likely you also have a dorsal hump that would benefit from reduction which then usually requires in fracture which can narrow the internal valve, but this can be remedied by use of spreader grafts. An experienced rhinoplasty surgeon should be able to correct all your deformities without compromising your airway, I doubt you'd be happy with just a tip rhinoplasty.

Hi and welcome to our forum!
Without photos, I cannot provide specific advice, but a tip rhinoplasty only affects the shape of the nasal tip through modification of the shape and size of the underlying cartilages, while a full rhinoplasty will address the height, width, projection, and shape of the entire nose.
Complications following a full rhinoplasty are relatively rare. A full rhinoplasty is often of great value in treating breathing issues rather than causing them!
Thick nasal skin does somewhat diminish the effectiveness of the result but most patients still feel it was worthwhile.
Best wishes...