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

. . . 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!

It appears that a lot has changed between the two photos. Your face appears fuller overall with a more pronounced nasal width, jaw width, and heavier brow, so I don't think I'd attribute the nasal changes to rosacea alone. Make sure that you've reached skeletal maturity before considering a rhinoplasty. A reputable surgeon wouldn't perform one before that point.

To reduce your nose, it does appear that you'll benefit from osteotomies ("breaking the nose") in order to narrow your nasal profile. Tip modification will be helpful as well to achieve what you desire.

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!

Much of the time narrowing the tip requires narrowing the bones as well. Feeling your nose will give us the definitive answer. But, don't worry about "breaking". Breaking the nose is more accurately described as carefully repositioning the bones. There's no big problem with doing it and it is not a significant issue during recovery. Rhinoplasty is a great procedure that makes people quite happy.