Nose is very round, fat, and bulbous - best way to proceed to get a more defined tip? (photos)

Hi and thanks for the question! What you are looking for is a tip rhinoplasty. Specifically this will help reshape and reposition your lower lateral cartilages. It would be difficult to get your nose to look exactly like the one in your 'what I would like' photo but I would expect you could see a very significant improvement to the tip bulbosity by having a tip rhinoplasty performed. It is difficult to see the rest of your nose to see if any work would be required on the other parts of your nose, but for the tip different options would be cephalic trims, cephalic turn-in flaps, lateral crural repositioning, and lateral crural extension grafts to help shape and reposition the cartilages in your nasal tip causing the bulbous appearance. Best of luck going forward!

Hi @newlook7936. Thank you for sharing your photos. You are an excellent candidate for a rhinoplasty. I recommend seeing an expert rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination.

Best of luck,

Dr. Nima

Based on your photos, your nasal tip appears to deviate towards your right side, and there is also a C-shaped nasal appearance, and a bulbous tip appearance. These issues may be addressed with rhinoplasty surgery. Please consider consulting with several reputable rhinoplasty special specialists who offer computer imaging, so you could see what might be achieved with well performed rhinoplasty surgery. Hope this helps! Doctor Joseph

Thank you for your question. There are several ways to make changes to the nasal tip during surgery. The amount of change desired should be discussed with your surgeon. The goal most likely will not be achievable since your skin is thicker, but changes to get your nose closer to the goal are possible. I hope this is helpful, and all the best to you.
-Dr. P

Thank you for your question. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.