Which procedure would correct my nose tip deformity? (photos)

Hello and thank you for your question and the pictures. Addressing the shape of your nose (especially the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose (particularly the tip)!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in male rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading male rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with male rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Based on your photos, you appear to have relatively thin nasal skin, and there is an obvious indentation or cleft in the midline. This is commonly seen in people with thin nasal scan. We have had good success filling in these in the Tatian's permanently with microdroplets Silikon 1000. I hope this helps. Sincerely, Dr. Joseph

Hi from Istanbul! Tip plasty can effectively address the issues you're experiencing with your nose tip and provide a better shape, while also maintaining a natural look. Opting for a closed rhinoplasty, which doesn't involve a columellar incision, would be a suitable approach for this surgery. Hope this helps!

An open rhinoplasty can be done. The cleft between your cartilage can be narrowed as well as the bulbous tip. No other work is necessary unless you desire it.

Best Wishes,

Gary Horndeski, M.D.

You've got a cleft in the tip of your nose which is caused by separation of the lower lateral cartilages of the nose. This is corrected by reapproximating the cartilages into a smoother shape and position The rest of your nose can be adjusted, or not, as needed for a smooth and balanced look. You're a good candidate for this procedure from what I can see.

Hi NuVantage,
Thanks for your question and photos. Your nasal tip is asymmetric with a midline cleft due to the size and positioning of your lower lateral cartilages. You would benefit from increasing the definition of your tip in order to make your tip symmetrical and make it align with the dorsum of your nose. This could be achieved via correction of the lower lateral cartilages (via sutures and reinforcing the current structure with your own cartilage) without changing the dorsum of your nose. 

The right and left cartilages in the tip of the nose are asymmetric and the skin is adhering closely to them. The depression between the domes of the cartilages is called a bifid appearance. It is possible to place filler which will not require any downtime. However, it is temporary. The second option is a tip plasty where sutures are placed to reshape the cartilages in the nasal tip. The surgery would provide a permanent solution. Some surgeons may use a fascia graft in addtion to sutures in order to further hide the cartilages, however this will add bulk. The third option is a full rhinoplasty. This will focus on balancing the whole nose to fit your face. Any of these options would work wonderfully for you depending on your goals. If you decide not to do any procedures, the cartilages are likely to continue to grow and the bifid appearance will become more prominent. Best of luck in your journey!

When first meeting with patients requesting any type of rhinoplasty surgery, plastic surgeons often look for patients who can well describe exact nature of what they don’t like and what you’re hoping to achieve.This case I’m going to assume that you don’t like the small left or indentation in the center of your nasal tip. This probably represents the shape of your alar cartilages.
This could be corrected with an open rhinoplasty, either realigning the Cartlidge with sutures, or possibly adding a small Cartlidge graft.
A simpler, but not permanent approach, would be the use of fillers, which may work very well in this situation. If this works well and there are longer lasting alternatives, Sanchez Radiesse, that could give you 6 to 12 months between treatments.
Rhinoplasty surgery is fairly complex, and I recommend people put a significant effort into provider selection before having this type of surgery. The use of fillers in straightforward, but look for people of done “liquid rhinoplasty” with proof of ample experience.
Best,
Mats Hagstrom MD