Rhinoplasty -bulbous Tip? (photo)

Hello, i have a question.... Im looking to have a rhinoplasty, My bridge is a bit wide and my tip is bulbous and a bit downward When i smile it goes a lil more downward. Im looking to make minor changes.. Will makin my bridge a lil thinner n the bulbous tip a little thinner work? I like the length of my nose will doin this sx shorten my nose? With the downward tip of my nose go upward a little bit?

Doctor Answers 12

Bulbous tip

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The bulbous tip is best addressed with tip suturing techniques that narrow and refine the tip.  When there is excess cartilage a conservative amount of it can also be removed.  Rotation is accomplished with a tip-plasty and shaving the caudal septum.  Osteotomies are done to narrow the entire bridge line.  Releasing the depressor septe ligament in the tip will prevent the tip from drooping upon smiling

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Rhinoplasty advise

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You have a lot of good questions but I can't tell if any of your photos are of you. The best step would be to simply go for a consultations. These days they are frequently complimentary. You will be able to discuss all of your questions after your surgeon has had an opportunity to examine and fully evaluate your nose. Good luck.

Tip/dorsum balance

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The shape of the tip can be modified with a rhinoplasty.  The contour of the ala, as well as the relationship of the ala to the middle 1/3 and upper 1/3 of the nose must be considered.  A consultation with an experienced rhinoplasty surgeon would help you understand what might be possible.

Sam Most, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

Rhinoplasty and bulbous tip

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Refinement of the nose can be performed with a precise rhinoplasty.  It is best to go for a consultation.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Rhinoplasty Bulbous Tip

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Rhinoplasty surgery is an extremely complex procedure which requires careful analysis and listening to the patients desires. All of the things you are asking about can be addressed in a Rhinoplasty procedure. The most important thing you need to do is find a board certified surgeon who does lots of Rhinoplasty surgeries and who you feel confident can deliver your results.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 54 reviews

Revison Rhinoplasty for Bulbous Tip

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The bulbous tip can be treated with reconstruction of your lower lateral cartilages. It does appear that you have any fatty tissue causing the bulbous tip. The best way to show you would be to do a computer imaging so you can see what the results would be.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Subtle Changes Are Best During A Rhinoplasty

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I always state that a rhinoplasty is a game of millimeters.  In you case you want to define your tip, raise your tip, and narrow you nose a few millimeters in those areas.  All of those changes together can improve your facial harmony without changing the character of your nose.  All of your request are reasonable and should be attainable with a qualified surgeon.  In my opinion, you are an excellent candidate for a rhinoplasty.  


I hope this helps!

The key to rhinoplasty is getting a balanced nose that fits your face

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We often talk about a brow-tip line in rhinoplasty. This is a curved line that goes from the brow, along the side of the nose to the tip. This delineates a gentle taper with bones that are a little more slender than the tip of the nose as you described. Surgery doesn't have to raise the tip of the nose. This can be controlled by the surgical technique. The best rhinoplasties are minor changes that address subtle imperfections but leave you with a better looking nose that doesn't look fixed but fits your face.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews

Bulbous Tip

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Major refinements in the nose can be accomplished by competent plastic surgeon. It is important to discuss with your surgeon exactly what bothers you about your nose and what refinements you would like to see. Based on your pictures, it appears that significant changes can be made in keeping with your desires.

William H. Gorman, MD
Austin Plastic Surgeon
4.0 out of 5 stars 19 reviews

Bulbous nose

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I find it difficult to be sure from your photos, but in general everything you are asking for is routinely performed during rhinoplasty. Find an experienced rhinoplasty surgeon that you feel comfortable communicating with you should be able to obtain what you are looking for.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.