Am I a good rhinoplasty candidate for bulbous tip & nasal hump fracture? (Photos)

The two cartilages that form the tip of your nose are broad and strong. They make the tip look wide. Those cartilages are usually also responsible for making a nose look long and for holding the tip out away from the face. So, we would use the profile view, and some other views, to see whether the tip of the nose should be elevated a bit and brought back closer to the face a bit. The dent can be addressed at the same time.
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.)
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 (the wide tip especially) 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. It also discusses how to take photos that are best for online evaluations.

Hello! Thank you for your question. From the photos you provided, I can say that your nose tip is very wide and you might have hanging columella. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. For get rid of this image and gain more elegant, slightly curved looking for your nose I recommend you rhinoplasty surgery. Best Regards!

Hi @Intuitive489653! You are a great candidate for a rhinoplasty. I recommend seeing an expert rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima!

Thank you for your question and photos. It is possible to make conservative changes during a rhinoplasty procedure to redefine the tip and nasal hump while producing balanced, natural-looking results. The cost of rhinoplasty can have a broad range and depend on associated fees, such as anesthesia, facility, and surgeon’s fees. Keep in mind that 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. They will be able to determine the best approach to help you achieve your aesthetic goals and discuss the overall cost of the procedure with you.

Dear Intuitive489653,

Thankyou for providing pictures for a better recommendation. In my professional opinion, closed atraumatic rhinoplasty can address your concerns, specifically the dorsal hump can be rasped and bulbous tip can be reduced and defined. Additionally, this procedure can help to achieve a feminine and sophisticated look. The average cost depend on the level of difficulty and the expertise of the doctor as well as the area the doctor is located in. I am attaching a link for before and after if you would like to look deeper into the procedure and what to expect.


Regards,
TAS TEAM

Hello,
The answer is yes, you can have rhinoplasty surgery to improve the shape of your nose. Preservation rhinoplasty can help make your nose look smaller while keeping it look natural. The bridge can be smoothed and the tip can be refined as well. It is better to consult with a facial plastic surgeon to discuss the detail of the surgery.

Your bulbous tip originates from nasal tip cartilage rather than soft tissue. You can have a slimmer tip through trimming and realignment of nasal tip cartilage. However, since the skin on the tip of your nose is thin and the side margin shadow of the cartilage is clearly visible, you need to operate very meticulously. This is because surgical correction of a bulbous tip having this condition can easily lead to a pinched tip. An additional cartilage graft may be required to avoid pinching in addition to simply manipulation of the nasal tip cartilage.In the photo, a sunken area is observed in the upper lateral cartilage area, but it seems difficult to make an accurate judgment with only the photo.

Based on these photos, you need very subtle changes on the tip and dorsum. This type of rhinoplasty requires true expertise. In person consultation with a board certified plastic surgeon with excellent reputation in rhinoplasty, is recommended. Good luck.

Based on your photos, you appear to have extremely thin nasal skin which is prone to show irregularities after rhinoplasty, so the skill of your surgeon is imperative. Rhinoplasty may be considered for tip narrowing, and hump reduction for a less distracting nasal appearance. Your bridge indentation is not well seen in your photos. Hope this helps! Dr Joseph

Hello @Intuitive489653, thank you for your question. You are a candidate. One of the most significant aspects to consider when performing rhinoplasty is ensuring harmony with other features of the face. In may case, I always work closely alongside an ENT surgeon in order to ensure correct management and alignment of not only the septum but all facial proportions as well. As for the cost, it is important to note that the cost of surgery is directly related to the unique characteristics of each patient and what the specialist evaluates. Best wishes! Alan Gonzalez MD FACS. merican Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)