Am I a candidate for tiplasty? (Photo)

Although you notice your tip (and nostrils), the fix is a rhinoplasty and septoplasty. The techniques required to reshape and reposition your tip requires the nose to be surgically exposed for multiple reasons, including cartilage harvesting from the septum. Additionally, in all likelihood your nasal airway is limited, and a proper surgery would be designed to address that too. Done by an expert, your nose will look and work much, much better.

Hello and thank you for your question and the pictures. Addressing the shape of the nose (particularly the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address your nose, and is particularly effective at addressing the tip size, shape, and definition! You would need a "full" rhinoplasty (instead of just working on the tip) because to balance your nose with your other facial features, I'd need to shorten the length of the nose and potentially also deproject the tip to adjust the angle and your nostrils. I'd also address the drooping at the same time.

This truly a surgery of millimeters- and it requires exceptional surgical skill to achieve natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading 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 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

Good afternoon from Maryland!

Love the sunglasses! This is a super common concern among patients. Yes, you would be a candidate for a tip-plasty, where we leave the bridge of the nose undisturbed. My plan would be to bring the nostrils and nasal tip into better harmony. My preference is to perform this in a closed "scarless" way, where I deliver the tip cartilages and make changes to their shape. I then "borrow" some cartilage from the nasal septum to support the tip in a lifted position.

I hope that helps! As always, an in-person consultation will help you find the best surgeon for you.

Wishing you all the best!
Dr. Sitapara
Prime Facial Plastic Surgery

Based on the photos, you are a great candidate for a tip plasty. If you are happy with the bridge, you can leave it alone. The tip droop can be raised up and the shape refined. Be sure to see a rhinoplasty expert for consultation.

Whether or not you would require bony work is difficult to determine based on your photos. As a general rule, most patients do require a full rhinoplasty to gain narrowing, perhaps, in the upper middle and lower thirds of the nose. Thank you for your question. Sincerely, Dr Joseph

Hello! Thank you for your question.
As far as I can see from your photos, rhinoplasty operation will be a very correct choice for a permanent and definitive solution. I recommend rhinoplasty operation to get rid of this image and for a more elegant nose.
It would be better face to face consultation.
Best Regards!

Thank you for your question and for sharing your photographs. In some instances, the nasal tip becomes elongated or droopy, while in others, the nostrils move up slightly over time. Sometimes, these two features combine. Since the contour of the bridge is good, both from the front and profile views, a tip plasty seems like a suitable solution.

To control the shape of the nostrils more effectively, an alar base reduction or alar plasty can complement the changes and produce a more horizontal appearance of the nostrils. It is also possible to lower the position of the nostrils using cartilage grafts. However, these grafts tend to create a perception of the nasal tip as heavier set or fuller, which may not be the type of result you wish to achieve.

Hello and thank you for your question. Based on your photographs you are a much better candidate for a full rhinoplasty rather than a . tip plasty which would likely lead to a revision for you. Maneuvers in your surgery would include tip elevation, tip deprojection, correction of alar retraction, tip refinement, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

No, you need a rhinoplasty. The nasal columella angle is less than 110 degrees. A tip plasty will not correct this angle.

Best Wishes,

Gary Horndeski, M.D.

It is very likely that rhinoplasty would correct current problem. Tip needs support by means of cartilage grafts which can be harvested from patient’s septum. In person consultation with a board certified plastic surgeon expert in rhinoplasty is recommended.