Tip only rhinoplasty possible for me? (Photo)

Unfortunately, local anesthesia is risky for a sensitive procedure like this. It is important to stay still during the operation to reduce the risk of complications. For this reason it is recommended that general anesthesia be applied for this kind of operation.

Hello, while it appears most of your concerns are related to the tip, it is important to remember that typically specialized rhinoplasty surgeons prefer to take a comprehensive approach to the nose to ensure that your final result is adequately balanced, as changing one feature of the nose can often alter the appearance of another.
That said, you have a boxy tip with redundant cartilage that will require significant cartilage reduction and stabilization. To do this in a predictable and long-lasting fashion will require a septal-extension cartilage graft to stabilize your tip cartilages. This cartilage is typically taken from your own septum, which is most safely harvested under anesthesia to prevent bleeding into your airway. It is possible to purchase off-the-shelf rib cartilage to use instead of your own septal cartilage, which might allow an ambitious surgeon to perform this procedure entirely under local. But as you can see, there are several benefits to doing this procedure under anesthesia with very little downside, which is why you may find surgeon reluctant to do it under local anesthesia. You would likely be compromising quality.

Hi TaylorI just don't recommend tipplasty. I do not recommend it under local anesthesia. If it is to happen, it should all be together because a disproportionate image will emerge. The top side is different, the bottom side is different. It would be better if the bullous type appearance is essentially corrected under general anesthesia, without touching the upper part too much. If you have a photo from the side, if you share it, at least the projection will be evaluated.