Removing Cartilage from Tip to Make Nose Shorter?

Question

I want to remove cartilage from the tip of my nose to shorten it. How complex is this and what is the recovery and cost for something like this?

Richard J. Bruneteau, MD · Answer

It’s not unusual for patients to be concerned about the length of their nose.  In many cases elongation of the nose is associated with a tight angle between the nose and lip.  When this situation arises, a rhinoplasty can be performed which removes the lower portion of the nasal septum.  This maneuver not only shortens the nose, but also improves the angle between the nose and lip.
            After 48 hours, the typical rhinoplasty patient feels good, but continues to have bruising and swelling.  Although they feel better, they don’t feel good enough to go out in public because of their appearance.  The swelling and bruising usually resolves in about two weeks and at that time patients are able to resume most of their normal activities.
  
            Prices for this procedure vary widely and depend upon several variables.  It’s important to make sure that your fee quote includes the surgeon’s fee, facility fee, anesthesia charges and pre and post-operative care.  These components may vary widely depending upon the surgeons practice.
  
            When all these variables are considered, fees in the midwestern United States vary from $5,000 to $8,000.  It’s important to remember that price is an important part of your decision, but it’s not the only consideration.  Make sure your surgeon is board certified, has a good reputation and has experience performing rhinoplasty surgery.

Jerome Edelstein, MD · Answer

Pricing varies depending on the surgeon and city where they are. It can also depend on the extent of correction required. In Toronto, Ontario, it ranges from $8000-$10000.

Steven J. Pearlman, MD, FACS · Answer

Each and every rhinoplasty must take into account all aspects of the nose. Yes, we often remove cartilage from the tip to shorten it. However, your definition of what needs to be "shortened" can be more complex than it seems. Removing cartilage can have consequence in the shape, position, length as well as angle of the tip of the nose. You should seek out a rhinoplasty specialist to discuss your desires to see what would give you the best result.
To quote one of my professors: "performing a rhinoplasty is easy, getting good results, however, may be difficult."

Kris M. Reddy, MD, FACS · Answer

The costs of rhinoplasty like the costs most procedures vary significantly among regions and even within a county. The costs are higher in more expensive areas such as New York or Los Angeles, or in areas with fewer board certified plastic surgeons. We currently charge starting at $2000 + MD Anesthesia related costs for tip rhinoplasty. Because you can get quality work for less in South Florida, many patients will come from throughout the country and world to have surgery here. To ensure quality work at most cost effective prices, consult with board certified plastic surgeons that own their own nationally accredited facilities. These surgeons must maintain the highest standards to keep accreditation. Moreover, the surgeons are motivated to ensure quality and properly trained staff (to minimize time and frustration in surgery), private and comfortable facilities (to ensure continued referrals), and less waste (to ensure that they can remain competitive financially with other centers).Consult with 3 experienced and expert board certified plastic surgeons to understand your options. In the hands of an experienced and expert board certified plastic surgeon, the procedure is straightforward with tremendous and consistent satisfaction.

William Portuese, MD · Answer

Removing cartilage from the tip to shorten the nose is considered rhinoplasty. In most cases removing cartilage from the tip is only a portion of a rhinoplasty. The nose will most certainly not be balanced appropriately if that is all that is performed. This is a typical rhinoplasty procedure, and the average cost is approximately $6,000. This price usually includes the operating room, anesthesia, and the physician’s fee for performing the surgery.

S. Randolph Waldman, MD · Answer

It sounds as if you are asking about having a Rhinoplasty. Certainly one of the options in this procedure is to make the nose shorter. While cartilage may be removed there are other ways in which we shorten a nose. As is often stated it is not how much cartilage that is removed but what we leave behind that determines the structure and function of your nose and ultimately the appearance. Be sure you see a very very experienced surgeon as this is an area where experience really matters!

Shervin Naderi, MD, FACS · Answer

Hi,
Your goal sounds fine but you have to be seen and examined first.  Removal of cartilage can be something VERY simple and fast or it may involve much more complex rearrangements.  It just depends on your nose, your tip cartilage structure, your skin and your septum cartilage length.  Cost is also a huge variable.  Some surgeons charge $1500 - 3K for rhinoplasty and others charge $15-30K for the surgery.

George J. Beraka, MD (retired) · Answer

Hi!
In general, shortening the nose can be done safely.  It may involve removing some cartilage and other steps,depending on the anatomy.  People go back to work in one week.
In Manhattan, we charge $5,000 for a tip rhynoplasty

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