Is there a way to create a "chiseled" nasal tip with rhinoplasty? (Photo)

Patients with thinner skin tend to see a better result when pursuing a more chiseled nasal tip. I should also caution you that this procedure can easily be overdone to the point of looking unnatural. Make sure the surgeon you choose is both board certified and highly experienced in this technique to ensure an optimal outcome. 

I think your nasal tip would get a nice result from surgical refinement especially because your skin is nice and thin. I can’t tell about what might need to be done to the rest of the nose fir the optimal result.

Hello and thank you for your question. Based on your description, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Noses can to some degree  be  "chiseled" by adding carved grafts  to the  nose.  It is important not to overdo this or the nose can have an unnatural done  look. 

The "chiseled" look is a function of the thickness of the skin and soft tissue overlying the cartilage. Patients with thinner skin will always look more "chiseled" compared to patients with thicker skin. There are ways to make the skin a little bit thinner by using retinoic acid topical treatments and reducing soft tissue thickness surgically, but there is a limit to what can be accomplished. An in-person exam would be necessary to determine if your desired look is possible for your nose. 

Hi and welcome to our forum!
During a tip plasty, one usually leaves at least a 5 mm segment of lower lateral cartilage during tip thinning to maintain support and prevent alar collapse. The limitation in the amount of thinning is the quality of the overlying skin. If thick, it will not assume the shape of the underlying modified cartilage. You require an in-person evaluation with a board certified plastic surgeon to assess your candidacy.
Best wishes...