Recommendations for a Tip Correction/Rhinoplasty in NY? (photo)

Hi, several additional photos are needed to determine if correcting your bifid deformity is all that would be required. Opening your tip would be necessary to reshape tip cartilages and provide the most optimal result. This  type of surgery would result in temporary swelling, however, the tip of your nose should not be larger from swelling than what it is now. Cast is not required in tip rhinoplasty. Hope this helps,

 

Grigoriy Mashkevich, MD

You're seeing this deep cleft since you appear to have very thin skin and firm cartilage. That combination increases the risk of experiencing post-rhinoplasty nasal irregularities. I have had good success filling nasal tip clefts with Silikon-1000, an off-label filler for permanent results.

If you have other concerns about your nose, you may ultimately require well-performed rhinoplasty surgery.

Hope this is helpful.

Dr. Joseph

That is a pretty spectacular bifid tip.  Also known as a "bum nose".  You will have very strong tip cartilages, and they will require weakening without compromising the support of your nose.  This will not be straightforward, and if your surgeon says "no problem", go elsewhere.

You would do best with an open tip approach rhinoplasty by an experienced surgeon.  I practice in Vancouver Canada but I present papers at international meetings, including New York.  Thomas Romo is a well-known facial plastic surgeon in your area.  His subspecialty is facial plastic surgery and particularly nasal surgery.

(I have no personal interests in where to suggest to send you, and I am not familiar with perhaps other qualified NYC surgeons)