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Yes, your nasal tip demonstrates "bifidity" along the upper curvature of your middle and lateral crurae of your lower lateral cartilages as they diverge from the midline. If this bothers you, there are several possible solutions. Easiest is injection of filler to raise the central depressed area between cartilages. Can have small bits of fat or cartilage injected, implanted, or grafted there for similar aesthetic result that lasts longer, and may be permanent. Can also permanently resolve by tip rhinoplasty or rhinoplasty surgical procedure.
Click on the "Web reference" link, just below my response, or go here:FacialSurgery.com/RealSelf/RealSelf_BonnieBlue2010.htmlI made a computer morph of your nose, and an animation of the morph, to show the changes that should be possible for your nose in truly expert hands.Your two tip cartilages are strong, so you can see their edges. You can trace out their locations. Making those cartilages less prominent would help the tip to blend into the rest of the nose, without standing out and drawing attention.You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle. Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon.Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
From the limited photographs, it appears that there is wide and divergent lower lateral cartilages in the nasal tip along with thin skin which can make prominent cartilages even more prominent. A closed rhinoplasty can accomplish reduction of the bulbous nasal tip with suture techniques and conservative cartilage removal, with all of the incisions placed on the inside of the nose. Occasionally, a small morselized cartilage graft is also inserted in the cleavage between the 2 cartilages. For more information and many before and after examples, please see the link and the video below
You do not have a bifid nasal tip. You do have very strong lower alar cartilages that have good width to them. What you are seeing is their cephalic edges pushing up against the skin. That appearance can be improved by reducing the strength/width of these cartilages.
All noses are structurally bifid--two distinct cartilages. What usually camouflages the natural separation is a layer of fascia, muscle and a small amount of fat. It is most commonly corrected with the softest of cartilage grafts (usually obtained from the excess in the tip when available) so that the the skin envelope thickness will be accounted for in the process.
Dear BonnieBlue2010, Yes you have a bifid tip or prominent tip cartilages. This is a very common complaint we see in our offices weekly as expert rhinoplasty surgeons. I agree that you would be an excellent candidate for a rhinoplasty to refine your nose and help balance your profile and overall facial aesthetics. I would suggest since you are on realself that you find some surgeons who have many reviews and read the surgeons reviews. If a large portion of those reviews are regarding rhinoplasty surgery then likely the surgeon denotes a large portion of his/her practice to this speciality. Schedule some consultations with these experts. During consultation I would highly suggest that you have digital imaging performed to show you the proposed changes to your nose taking into consideration your nasal anatomy and skin thickness. Then you can review the surgeons before and after photographs to ensure natural looking rhinoplasty results and also see many noses similar to your own. I have included a link below of rhinoplasty before and after photographs for your review as well as a video above of a patient with a similar complaint. Best regards, Michael V. Elam, M.D.
Your diagnosis is correct. You do have a large bifid tip which is an nherited characteristic that is not rare. I cannot see your entire nose but this can be corrected with a limited rhinoplasty to bring the tip cartilages together and reduce the size of your tip and change its contour.
From your one photo, it does appear that you have a bifid tip. This is caused by the fact that the lower lateral cartilages of the tip of your nose are slightly separated. This is not an uncommon situation and is a variant of a normal nasal structure. An injectable filler, such as Juvederm, can correct this situation. However the filler will not narrow the tip of the nose and the injection would need to be repeated to maintain the effect. A tip rhinoplasty in which the cartilages are brought together can also correct the gap, as well as narrow and reduce the bulkiness of the tip. Best wishes, Dr. Lepore.
Thick tip skin as well as overly soft bulky cartilage can create a bulbous tip. A combination of precisely placed tip cartilage grafts along with a minimal amount of cartilage removed, can artistically re-contour the tip into a more pleasing smaller feminine shape. The thick skin can typically...
Good afternoon. Unfortunately, it is difficult to answer your question without having a formal discussion with you of your specific surgical goals and a formal physical exam. There are a lot of factors which influence pricing- surgical history, surgeon experience, location, insurance...
When looking for a plastic surgeon to perform your rhinoplasty procedure, you should be looking for a highly accredited, board certified plastic surgeon that specializes in all areas of facial reconstruction. Moreover, make sure to find a plastic surgeon with before and after photos that are in...