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

Question

I have a bifid nose tip and have been considering a tip correction. I would appreciate answers to a few questions: First, what sort of procedure is recommended for a correction like this? Second, What is the estimated healing time for this procedure and what can I expect during that period (i.e. will I need a cast, will my eyes bruise)? Finally, I live on Long Island and would prefer not to travel out of state for the procedure, Can you recommend a NY surgeon who specializes in tip corrections?

Grigoriy Mashkevich, MD · Answer

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

Eric M. Joseph, MD · Answer

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

Douglas J. Kibblewhite, MD · Answer

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)

Steven Wallach, MD · Answer

A tip plasty is the operation that you would probably need to refine the tip cartilages and improve the bifid tip.  Some patients have more defined cartialges than others. Good luck!

William B. Rosenblatt, MD · Answer

You need to see an experienced rhinoplastic surgeon. There are many in Manhattan, myself included. Get an in person opinion.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,

	You are looking for a resculpting of your lower lateral cartilages. The lower lateral cartilages can be reshaped several ways. I would start with dome division, cephalic strip and a shield graft. This will reshape and remove the bifidity of your tip. The cost for this can range between 4500 to 12000, depending where you go.

	Best,

	Dr.S.

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

Answers (6)