Rhinoplasty for wide nose with bulbous tip?

Thick nasal skin would camouflage the refinement of nasal tip. In some instances the subcutaneous nasal tissue (fat under the skin) can be trimmed in order to create more definition at the tip. This requires experience and expertise of how much of tissue to remove. I do not think you have overly thick skin, an experienced rhinoplasty surgeon can create a beautiful and natural results by performing a tip rhinplasty and reducing of your alar base. Your nasal dorsum  looks wonderful, therefore there is no need for osteotomy (breaking nasal bone). 

You would do well with a rhinoplasty. The thickness of your skin is a limiting factor of how  narrow/refined your tip can be. Having said that you would get a significant change in the appearance of your nose from a rhinoplasty. I believe you would like it. 

An open or closed rhinoplasty with tip modification will improve the shape and definition of your nasal tip. The rest of your nose would harmonize well with improved tip features, as discussed.

Based on your photos, you would be an excellent candidate for rhinoplasty. The areas of your concern are realistic and the result should be obtainable with an experienced rhinoplasty surgeon. Best wishes to you.

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
 Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Greetings,

In general my opinion is that your nose is actually quite aesthetic and that it balances with your face well overall.  I agree that the tip may not harmonize quite as well with the rest of your nose and face since it has some degree of roundness and overall less definition than the rest of your nose.  Some modifications to this area might give you the improvement that you are looking for.  Good luck!

Hi Plexusmama,Thanks for your question. You point out one of the key elements to consider in rhinoplasty--balance. Rhinoplasty should aim to balance out the face and to make the facial features be in harmony with one another.In your case, the shape and orientation of the cartilages that make up the tip of your nose cause your nose to be bigger than it should be in relation to the rest of your face. There are a couple of other smaller and more subtle issues to address, but the tip cartilages are the biggest issue. This concern can definitely be addressed and I think you would be very happy with the improvement in appearance.Please let us know if you have any other questions or concerns.Good luck!

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

Yes I agree that the tip of your nose is bulbous. But most of the shape is due to extremely large cartilages that can be re-shaped and reduced in order to give you a more refined tip. There are some other things about your nose that you should discuss at your consultations. This would include possible narrowing the nasal bones just a bit as well as the base of the nose (bottom of the nostrils). Good luck.

The areas that you described and would like improved can be addressed
with a natural appearing rhinoplasty performed by an expert artistic
plastic surgeon with extensive rhinoplasty experience.  Keep in mind, that following the advice from a
surgeon on this or any other website who proposes to tell you what to do based
on limited 2 dimensional photos without examining you, physically feeling the
tissue, assessing your desired outcome, taking a full medical history, and
discussing the pros and cons of the proposed operative procedure with you and
your parents may not be in your best interest. I would suggest you find a
plastic surgeon certified by the American Board of Plastic Surgery and ideally
a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or
facial plastic surgeon (otolaryngologist) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person. 



Robert Singer, MD FACS 


La Jolla, California