Should I Have a Rhinoplasty to Change the Tip of my Nose? (photo)

I like the way my nose looks when I'm not smiling, but upon smiling it looks wide and ball like at the base. Should I have this changed through surgery or does my current nose fit my face?

Doctor Answers 11

Bulbous nasal tip addressed with conservative surgery

Thank you for your inquiry!

It seems that you are a good candidate for a conservative surgery addressing the bulbous nasal tip you have to complement your facial features in a natural fashion. However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews

Rhinoplasty to change appearance of tip

Your nose fits your features very well even when smiling.  When smiling, it is normal for the nose to flare , however, there are techniques that can be used to reduced the width of the nose if you are truly unhappy with its appearance.  You should consult with a board certified facial plastic or plastic surgeon to help you in making a well-informed decision.  Ultimately, it will be up to you.  Best of luck.

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Should I Have a Rhinjoplasty to Improve My Tip?

Only you can answer your question. Your tip can be improved with a very limited rhinoplasty, ie. a tip-plasty. Seek the advice of an experienced rhinoplasty surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Do I need a rhinoplasty?

Don't touch your nose. It's naturally beautiful and fits your face wonderfully. You are being to critical of yourself. 

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

It's up to you

Ultimately this needs to be your decision. I suggest having a one-on-one consultation with a plastic surgeon in your area and have the surgeon morph your pictures. This will allow you to see what your nose and face would look like after having facial surgery.  If you are pleased with the consultation then you can move forward more confidently.
Best of luck to you!


Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 86 reviews

You do not need surgery

Your nose fits your face and you should leave it alone. You have a great smile and your nose blends in.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 124 reviews

Rhinoplasty or not

If you want my vote, I say 'no'. Deflection of the tip with smiling is natural and you are fine just the way you are.

Best of luck,

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews

Nose tip

I would not recommend a surgery. The only thing you could do is risk ruining a beautiful nearly perfect face. Count your blessings and believe in yourself

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Rhinoplasty for the bulbous tip.

Rhinoplasty for the bulbous tip can be done with just a tip plasty. Your face is beautiful the way it is and you need nothing---keep on smiling!

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Alar Base Reduction

If you are only concerned about the flaring or wide appearance of your nose with smiling that can be easily addressed with alar base reduction.  This is a common request from patients and can be done discretely.  Only you can decide whether or not you wish to have something enhanced.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 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.