What parts of the nose are included in a tip rhinoplasty?

Question

I know that bone work is not part of a tip rhinoplasty but are the upper lateral cartilages included or is it just the lower lateral cartilages? Thank you in advance

Nima Shemirani, MD · Answer

Hi @Jcrzy83! This is an excellent question. A tip rhinoplasty solely addresses the lower lateral cartilages and alar rims. Typically, cartilage grafts are used.

Andrew Miller, MD · Answer

The tip rhinoplasty is to reshape and refine the tip cartilages only. The upper laterals are part of the bridge. But if something needs to be done there, that can always be included in the procedure. Be sure to see a rhinoplasty specialist for consultation.

Eric M. Joseph, MD · Answer

In general, when people require narrowing of the mid third of the nose, or the upper lateral cartilages, that may require osteotomies and bony work. Hope this helps! Dr Joseph

Jonathan Kulbersh, MD · Answer

Thank you for your question. Tip rhinoplasty focuses solely on the size and shape of the nasal tip. This may involve suture placement to narrow a wide nose, cephalic trimming to remove the cartilage in a wide nose or reduce a bulbous tip, or cartilage grafting to lift a drooping tip. 
Though tip rhinoplasty focuses mainly on the tip, it is still considered one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to answer any questions you have and help determine the best procedural option for you.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.During a tip surgery the surgeon usually only works with the tip. But of course if you want to change the look of your nostrils the lateral cartilages may be involved.Best regards!

William Portuese, MD · Answer

A tip-plasty only adjusts the lower lateral cartilages. It's very rare for a person to only undergo a tip plasty alone, since the nose is a three-dimensional structure. It's also important to understand all the components of the nose must be balanced and  are proportional three dimensionally.

Ronald J. Edelson, MD · Answer

You are correct that tip pasty involves the cartilages. However there are so many variations from simple to complex and each surgeon dies something slightly different.  And the use of cartilage grafts is often part of it.

Zoran Potparic, MD · Answer

Tip rhinoplasty involves procedures on the tip of the nose including distal portion of septum, lower lateral cartilages and allar rims. However, whether cobination of these procedures may address the problem can be decided only on the basis in person consultation with a board certified plastic surgeon, expert in rhinoplasty. Good luck.

Randal Haworth, MD, FACS · Answer

Hello !

A tip-plasty involves reshaping the tip of the nose only. It does not include the upper parts of the nose.

Best of luck,

Randal Haworth

Hong Ryul Jin, MD · Answer

Usually, tip works includes lower lateral cartilages and caudal septum. Upper lateral cartilages may have been used as a suture points, but mostly the upper lateral cartilages are not involved in tip work. Thanks.

What parts of the nose are included in a tip rhinoplasty?

Answers (12)

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