Exact Rhinoplasty Procedure for Bulbous Tip?

Is there an exact Rhinoplasty procedure for round nose tip or a bulbous one? Thanks a lot again.

Doctor Answers 13

Bulbous tip

The technique necessary varies from patient to patient and can include:


-removal of intraalar fat/fibrous tissue

-interalar mattress sutures

-reection of cephalic aspect of lower lateral cartilages

-columellar strut grafting, tip definition grafting and thining of the subdermal tissue (closed rhinoplasty is very important for the safety of this maneuver



All the best,


Rian A. Maercks M.D.

Miami Physician
4.9 out of 5 stars 75 reviews

Many techniques to address bulbous tip

There are many different techniques to address a bulbous tip. All surgeons will have differing opinions on which is the best approach to address your problem. The bulbous tip can be composed of both thick skin and wide cartilages. Thick skin is a very difficult problem to address that will require some cortisone injections in the postoperative phase. The wide cartilage is addressed through refinement and removal of a portion of the cartilage to refine the tip. Suturing techniques of the tip will also create more of a narrowing effect of the tip itself and make it a lot less bulbous. There tends to be more swelling in the tip with these type of techniques even performed through a closed rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

What you are referring to is most likely called a Tip-plasty?

Usually I recommend the external approach for the bulbous tip. If there is no concern regarding the bridge of the nose or the width of the upper aspect of the nose then an isolated treatment of the tip can be performed although this is uncommon in most of our practices. Treatment of the tip can include removal of cartilage in a conservative fashion, shaping the exisiting cartilage, or even adding cartilage taken from the inside of the nose (tip grafting), Sometimes sutures placed appropriately can help shape the tip cartilage thus narrowing the bulbous nose. Rarely it is also necessary to remove some of the fatty tissue from the undersurface of the tip and thus "thin" the skin allowing it to redrape better over the underlying structure left behind.

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon
4.6 out of 5 stars 19 reviews

Bulbous nasal tip

Thank you for your inquiry!

It seems that you are a good candidate for a columellar or interalar approach that will improve the way your nose looks 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

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews

Correcting a Bulbous Tip With Rhinoplasty

There are many techniques that surgeons use to correct the appearance of bulbous tip. The techniques used will depend on the patient's specific nasal structure and characteristics. The lower lateral cartilages (tip cartilages) can be trimmed and reshaped either with sutures or with grafts to relieve the excess curvature.

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
4.7 out of 5 stars 147 reviews

Rhinoplasty Procedure for Bulbous Nasal Tip

Hi Steban,

Every nose is different, as is every rhinoplasty. There may be similiar steps to the procedure, but like snowflakes, noses are different.

There are different methods to give definition to a round or bulbous nasal tip. An excellent rhinoplasty surgeon will have all of those methods available at the time of surgery, and use the best combination to achieve your desired nasal cosmetic and functional goals....exactly.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Your bulbous tip may be narrowed with Rhinoplasty Surgery.

The exact technique to narrow the tip of your nose will largely depend on the preference of your surgeon. The exact technique is not as important as your final result and your satisfaction after surgery.

You should consult several qualified, experienced rhinoplasty surgeons with many favorable photos before moving forward with your rhinoplasty.

I hope this helps you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

Yes there is!

 See an experienced rhinoplasty surgeon and let him tell you what you need. That is the way to get the "exact" rhinoplasty that fits your face.

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

"Exact" Rhinoplasty

There is no such thing as an exact rhinoplasty, or for that matter any exact procedure. A good plastic surgeon or facial plastic surgeon takes into account your facial and nasal anatomy, considers your goals and expectations, and then designs a customized plan for how to achieve your goals. So it is very much individualized for each and every patient. Although there have been surgeons who perform the same procedure on everyone, no matter how good that nose looks after surgery, if it doesn't fit your face and facial proportions, you will be very unhappy.

Theodore Katz, MD, FACS
Philadelphia Plastic Surgeon
4.8 out of 5 stars 7 reviews

Exact Rhinoplasty procedure for bulbous tip

Dear Steban1990 ,

There is no ONE exact, carbon copy, template operation we all do the same way to reshape a bulbous nasal tip. Nose surgery is a large collection of surgical techniques - each used in concert with others as needed on an individual nose based on the judgment of the surgeon.

GENERALLY speaking, a bulbous nasal tip is brought about by large, wide convex lower lateral cartilages making up the tip support. These cartilages are usually narrowed and shaped with sutures - some may need on occasion to be even cut to weaken the spring and reduce the height of the arch. If the skin is thick, an onlay cartilage graft may be needed to convey an image of the narrowed tip THROUGH the thick skin.

I hope this was not overly technical.

Good Luck.

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 109 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.