Could I get a good results with a tipplasty and a light rasping of my bridge rather than going for a full rhinoplasty? (photo)

Question

I’m considering having nose surgery to improve the appearance on my nose. I’d like something a bit more classical in ‘western beauty standards’. I’m wondering if I could get good results with a tipplasty and a light rasping of my bridge rather than going for a full rhinoplasty. My issues are a bulbous over projected tip with a small bridge hump. I may also have a deviated septum which you can see by the protrusion at the bottom right of my nostril. Is a closed operation also on the table?

Christopher David Jones, MBBS, BSc, FRCS (Plast) · Answer

From the photo provided you would almost certainly need an open rhinoplasty to address the entire shape of the nose +/- septum (if this is actually deviated). A columella strut graft is probably needed to support the tip and control its position.
I would advise that you see a Plastic surgeon with an interest in facial aesthetics for full assessment. All the best.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
 As far as I can understand from your question ,I recommend a rhinoplasty operation for the correction of your deviation and at the same time for a more elegant nose, this is definitely the permanent and safest method. The situation you should pay attention to here is that your surgeon is an ent doctor and at the same time a facial plastic surgeon is very important in terms of not having breathing problems in the future. open operation is a more accurate method in terms of your surgeon's opinion and safety.
It would be better face to face consultation.
Best Regards!

Eric M. Joseph, MD · Answer

If you just have your dorsal bump removed from your nose, it would result in a wider nasal appearance. It's called an open roof deformity. This is why we nearly routinely perform osteotomies on patients who request hump reduction. I hope this is helpful. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you would benefit from a compete structural rhinoplasty rather than just a tip plasty. It is so important to properly support the tip so it does not droop and is not over projected. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. You are not a candidate for a tip-plasty. When you shave off the dorsal hump, there is a an open roof. You have to infracture the nose in order to recreate the roof. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Gary M. Horndeski, MD · Answer

Rasping can be done with a closed approach. Tip plasty is a little more difficult and if you need a septoplasty it is much more difficult. You are better off doing an open rhinoplasty if you want all these things covered.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Robert Ciardullo, MD · Answer

Is closed rhinoplasty appropriate for you? A closed rhinoplasty would be ideal for trimming the dorsal hump and refining the tip. If the septum is deviated a septoplasty can be performed along with the closed rhinoplasty. The rhinoplasty could also shorten what appears to be a slightly long nose and reduce slightly the projection making the overall nose smaller and more appealing.

Mats Hagstrom, MD (license on probation) · Answer

Rhinoplasty is not a procedure.
Is a general term for any surgical procedure that changes the shape of the nose.
When making assessments and coming up with treatment plants, we usually divide the nose into different subunits.
Each sub unit has many different operations that can be applied to that sub unit.
When making a treatment plan, we generally make a list of the issues That should be improved and then make a list of appropriate procedures for each sub unit involved.
The approach to male rhinoplasty surgery is quite different than female surgery.
The goals are inherently different. This is especially true for dorsal reduction and tip refining.
The time to be critical of plastic surgeons is during the vetting process before you schedule surgery.
Rhinoplasty surgery is considered fairly complex and mass during this type of surgery generally takes decades.
Have quality experience and minimize the chance of disappointment I suggest having multiple in person, consultations with plastic surgeons in your community who seem to have extensive rhinoplasty experience.
Preferably find providers who specialize in rhinoplasty surgery.
During each consultation, bring pictures of your face the same way plastic surgeons take before and after pictures.
Ask each surgeon to open up their portfolio and show you their entire collection of previous patients who had similar characteristics to your own.
Bring pictures with you to use as a reference during the consultation.
Do not go by memory or looking in mirrors to compare your nose to the sample pictures. The surgeon is showing you.
In my opinion and experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients for commonly performed procedures.
Rhinoplasty is probably not the most common cosmetic surgical procedure, and Male rhinoplasty is less common than female rhinoplasty. 
Being shown a handful of pre-selected images, representing only the best results of a provider career may be insufficient to get a clear understanding of what aver results look like in the hands of each provider.
There’s no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider for your needs.
 Personally, I think having five or six consultations seems appropriate for something that is more or less permanent, and in many ways irreversible.
All rhinoplasty procedures can be done with both open and closed approach.
Plastic surgeons will have different opinions about which approach is better.
There is slight evidence that open rhinoplasty has slightly lower revision rates.
It is also generally somewhat preferred for doing tip work.
Best,
Mats Hagstrom, MD

Could I get a good results with a tipplasty and a light rasping of my bridge rather than going for a full rhinoplasty? (photo)

Answers (8)

More Rhinoplasty Questions

6 months post op, my nostril gets irritated easily from the inside. Should I be worried?

How much would I need done to my nose to make my side profile flat? (Photos)

Complication of rib cartilage graft 8 months post-op, what do you think is the problem?

Is there a way to get rid of my bump without my nose looking like I got it done? (Photo)

Are you charged for kenalog shots after rhinoplasty?

Is my tip too upturned after surgery?

WE SEND PRETTY
EMAILS