Closed tip grafting - Would like to add a little more tip to the front of my nose. Is this realistic? (photos)

Question

I would like to add a little more tip to the front of my nose. Is this a realistic / achievable goal? How long does it typically take to heal from a closed tip grafting surgery?

Thomas Trevisani, MD · Answer

In person exam is essential. Based on your posted photos- it appears that you would benefit from Rhinoplasty preferably through closed technique - to address all of the elements of the nose. In the right hands you can expect a more refined, more feminine nose. I suggest that you seek an experienced Board Certified  PS

Donald Groves, MD · Answer

Hello and thank you for your question and the pictures. Addressing the shape of the nose (particularly the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty (rather than closed) can best address your nose, and is particularly effective at addressing the size, shape, and definition! Unfortunately closed just would not allow for the maneuvers needed to achieve what you're looking for, and anyone telling you otherwise is doing you a disservice.

This truly a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

It's not clear what you are looking to achieve when you say that you would like to add a little bit more tip on the front of your nose. It is clear from your photos however that you appear to have thin nasal skin. And our experience, tip grafting can sometimes lead to a nasal appearance that is that have thin nasal skin. Please feel free to re-ask your question where you can describe what you are looking to achieve from an aesthetic standpoint. Or consider Consulting with several reputable rhinoplasty specialists who offer computer Imaging. I hope this helps. Sincerely, Dr Joseph

Giray Genc, MD · Answer

Hello, if u want cartilage grafts on your nose tip, you should accept that, your nose tip will be more defined and also will be longer and more projected

Ronald J. Edelson, MD · Answer

I’m not so sure a tip graft is what you need. Your nose appears wide and I think narrowing both the tip and the bridge would be beneficial. Tip grafts are often used when not needed and can cause your tip to feel hard.

Gary M. Horndeski, MD · Answer

Your tip is asymmetrical and well defined. You have a broad bony base of the nose. You will need a tip refinement. I am not sure a tip grafting would be most desirable for you. You also have a dorsal hump and a supra tip hollow that needs to be straightened.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Steve Laverson, MD, FACS · Answer

My advice would be a quality realistic profile simulation, hand drawn by your surgeon superimposed on your profile photo to understand exactly how a graft will increase nasal tip projection and affect your appearance before proceeding.  A well planned and skillfully accomplished reduction rhinoplasty should be considered as a possible alternative.

William Portuese, MD · Answer

Placement of any type of cartilage grafts in the nasal tip will make your tip bigger, not smaller. Consider shaving down the dorsal hump, narrowing your bridge line and refinement to the nasal tip, with all the incisions placed on the inside of the nose, which is called closed rhinoplasty. An alar plasty can accomplish narrowing wide nostrils when necessary as well. Choose your closed rhinoplasty specialist wisely, because this is one of the more difficult procedures to perform correctly in the entire field of cosmetic surgery.

Closed tip grafting - Would like to add a little more tip to the front of my nose. Is this realistic? (photos)

Answers (8)

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