Is a Tip Plasty an option for my nose?

Question

Over 10 years ago I had a traumatic accident on my nose. My septum was deviated and manually put in place by a orthopaedic doctor. However since then my nose tip started to drop. I want to make my nose tip in place and slightly thinner. Yesterday I had a consultation with the surgeon assistant and she said she wasn't sure this could be done. Please can you give me an advice? Please check my pictures. Thank you

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Tip rhinoplasty can be performed to change the size and shape of the nasal tip. During this procedure, the tip can be slimmed down and definition improved for a favorable result that is harmonious with the rest of your facial features. 
Keep in mind that even when solely focusing on the tip, rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon with expertise in rhinoplasty techniques, who can suggest the best approach to help you achieve your aesthetic goals.

Oakley Smith, MD, FRCSC · Answer

Hello,
It is possible to have a rhinoplasty surgery limited to the tip of your nose to address the tip drooping. It is better for you to consult a facial plastic surgeon who can examine you and discuss what changes can be done.

Steven M. Denenberg, MD · Answer

You don't have the world's droopiest nose tip, but that doesn't mean you wouldn't be happier if it were elevated. I happen to like short-ish noses myself. What I also notice is that you have that tiny bump on the bridge, and if it were lowered, it would help the impression of a shorter nose. And then, the tip of your nose seems to project forward away from your face perhaps more than it needs to. If all of those not-huge changes were made at the same time, it can add up to something you see as a big improvement.
How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

I'd love for you to see some excellent morphs of what could possibly be done with your nose. It might make you feel better about the possibilities and help you plan your ideal goal.
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Robert Ciardullo, MD · Answer

What can be done with your nasal tip? based on the photos you show your nasal tip does not droop. The area above the tip called the supratip has a convex shape which makes the tip look like it is drooping. But the actual angle that your tip makes with your upper lip is obtuse. That means it is above 90° and appears to be about 100° which is close to ideal in a female. to make the nose prettier and give the tip a more upward appearance trimming of the area above the tip, called the “supratip“ could be done and is part of a routine rhinoplasty. At that time the nose tip could also be sculpted to be thinner and have more definition.

Is a Tip Plasty an option for my nose?

Answers (4)

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