Can You Raise the Tip of the Nose by Tying It Internally? (photo)

There are many differnet techniques to improve the shape and position of the nasal tip. This usually combines suturing techniques with excisional techniques of the nasal cartilage.

Techniques such as this are unlikely to succeed.  Short term results will probably meet expectations but a few months later the nose is likely to look the same as it did before the procedure.  The same concept has been used to bring in ears that stick out (otoplasty), to do facelifts, browlifts, eyelid lifts, and probably others.  I would consider these gimmick procedures.  As mentioned, tissues need to separated, repositioned, and then allowed to heal at the new position.

Most of these techniques are very limited in the degree that they can change the appearance of the nose. Skin has the tendency to stretch with tension and it is likely that most of these will fail over time. Rhinoplasty works because it removes and released tissues and sutures them in a new location. The tension is removed from the equation. If you choose this direction, make sure that the surgeon can show you a number of long term results showing sustained improvement. 

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon