Rhinoplasty: is bulbous tip and nostril reduction enough without altering the bridge? (Photos)

Question

Hello, I am planning to have a rhinoplasty, but I don’t want the bridge or the bony part of my nose to be touched. I am only interested in a bulbous tip reduction and nostril reduction. Will this be enough to achieve a balanced look? Thank you for your advice.

Eric M. Joseph, MD · Answer

The best way to determine somebody's bridge projection would be with a profile photograph. On front of you, I agree that you have a pleasing nasal bridge appearance and a white nasal tip appearance. Please consider re-asking your question with profile photographs. Thank you. Sincerely, Dr. Joseph

Zoran Potparic, MD · Answer

It would be very difficult to suggest much based on these photos. Your tip definitely needs refinement but what exactly should be done with your nose can be decided only on the basis of in person consultation. In many cases 3D imaging, now available in many plastic surgery practices with high volume of nose surgery, can  help to determine what would be the best set of procedures to refine your nose. Good luck.

Gary M. Horndeski, MD · Answer

If you do not want the bridge altered then that can be arranged.  The tip is quite wide and boxy.  You would benefit from a tip rhinoplasty.

Best Wishes,

Gary Horndeski, M.D.

Steven M. Denenberg, MD · Answer

The photos indicate that your skin isn't too thick, so we can see the outlines of the strong tip cartilages that are making the tip of the nose look wide-ish. So it should be possible to design an operation that only addresses that area of concern. Since revision rhinoplasty is so difficult, however, you should spend the effort to look at good photos of your nose from other views than these frontals, to make certain that there's nothing else to address. In any rhinoplasty, we should be addressing *everything* that's on a patient's list, so we're not tempted to go back later and do more!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a good candidate for a Rhinoplasty for tip refinement and nostril reduction. In order to fully evaluate your nose however, additional photos would be helpful, including a side profile view. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Rhinoplasty: is bulbous tip and nostril reduction enough without altering the bridge? (Photos)

Answers (5)