Wide nasal tip after rhinoplasty. Can I just reduce by dorsum and nasal tip? (Photo)

Thank you for sharing your history. Based on your anatomy, it appears you have thicker skin, and you also look quite young. Throughout your life, your nose and ears will continue to mature. They don’t change rapidly year to year, but as the skin thickens and the cartilage reaches a certain size, both need proper structural support to maintain aesthetically pleasing angles and prevent the nasal tip from appearing “bulky.”In my approach, I often use extra cartilage from the septum to create strong support for the nasal tissues. Using the correct type and amount of cartilage is essential for long-term stability and the overall success of your rhinoplasty.

Thank you for your question. Based on your photo I can say that the only change appears to be increased skin thickness and fullness around the tip. That is most likely due to the rosacea and not due to the underlying structure of your bones. If your nasal bones remain narrow and straight, there is no need to break the bridge. Redefining the tip, along with a conservative reduction of the dorsal skin, is likely to give the contour more slender appearance, but the skin thickness will limit the amount of contouring that will be possible. Management of rosacea is a priority, as skin excess will not be improved with surgery. You likely qualify for a tip revision, with no need for the full osteotomies.
Best regards, Andaç Aykan MD, Assoc. Prof.

. . . but ultimately, I would address the rosacea with a dermatologist/skin care specialist to bring this under control; if successful, you may not need a rhinoplasty at all! But if "thicker" skin issues persist (at your young age), perhaps a refinement of the tip cartilage could help (although it doesn't appear you had this issue to begin with, so this appears to be a skin management issue more than anything . . . ) You have nice features, think carefully about more invasive procedures, at least early in your process.

Hello, since your nose has thickened and widened due to rosacea, you will first need to consult a dermatologist and receive medication.This problem is solved with Roacutane drug treatment, and then you can have the nose you dream of with Rhinoplasty.

Yes you can but you need to see a specialist.
You may need to see a dermatologist too.
I would advise a course of steroid injections but the results depend on a number of factors including genetics.

Rosacea can be a tough and frustrating problem, leading to general swelling and inflammation. These changes are primarily in the skin, which does contribute the nasal appearance as it blankets the nose. When there is a specific cause for the observed changes (ie rosacea), it is always best to treat the root problem first. You appear to be fairly young, so it is important to consider that there are some changes that could have occurred with development. We typically see most changes during the teen years. If the bones themselves widened or the cartilages changed shape, that would be something that can be changed surgically. However, if it is just the skin changes, medical treatment would be the more ideal option. So the first step would be to consult with a well qualified dermatologist and treat the rosacea. Allow the treatment adequate time to work. Then, if there are still issues you would like to address, a consultation with a plastic or facial plastic surgeon that specializes in rhinoplasty. Hope this helps, good luck!

Your bulbous nasal tip can be changed into a slimmer one by alar cartilage manipulation and soft tissue debulking procedure. As for the nasal bone, it is difficult to judge from the photo whether the shape of the nasal bone is different from the previous one. But because it looks wide, osteotomy is required. Also, it would be good to do nasal bridge augmentation at the same time.

Hi there are different approaches and techniques used during rhinoplasty, It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and what can be done to suit you best

Hello! Thank you for your question. As far as I can see from your photo tip of your nose is bulbous and you have very thick skin. With the open rhinoplasty your nose can be improved according to your wishes. However, you need to keep in mind that you have thick skin and the final result can be done in 1,5 years. You need to be patience about it. Best Regards!

Thank you for your query! Rosacea tends to to involve the nose and can even lead to Rhinophyma. Medical treatment is usually the best way to prevent worsening of the condition. Once the progression has stopped you may consider a debunking procedure , but breaking your nasal bridge may not help. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns All the best!