Tip plasty to reduce width - possible? (photos)

You can certainly change the tip of the nose while leaving the nasal bones alone. The tip can be narrowed and lifted. Be sure to see a rhinoplasty expert for consultation and have computer imaging done the same day.

Hi,
Thank you for your question. Yes, indeed it is possible. You can proceed with the operation that would only focus on the tip, changing the shape or the size of it without affecting the rest of the nose, if this is what you desire.

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a tip rhinoplasty where the nasal tip cartilage is modified to narrow it, rotate it up and create a slightly more refined, feminine, less bulbous look as stated in your question. I would be have to evaluate you in person to better assess the dorsum of your nose. Although you may not desire any modification to the dorsum, I would have a low threshold to encourage a slight narrowing of the dorsum to better streamline it with the tip of your nose to optimize a smooth transition and symmetry.

The modification of your nasal cartilage can be done with trimming, stitching or grafting. If your septum is deviated and you have breathing difficulty, a septoplasty may benefit you as well. The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Rhinoplasty is the procedure to change the shape and appearance of the nose. The amount of work that needs to be done is really between the patient and surgeon. many times patients are unhappy with just the tip of their nose. In such cases just a tip rhinoplasty can be done. It is the surgeon’s job to look at everything and make sure that changing just the tip will still leave a balanced appearance to the whole nose. The photos don’t really show enough to be sure but it looks like you might be able to do just your tip. Good luck.

It is not quite easy to give you good advise based on these photos. For tip to stay in harmony with the rest of the nose, sometimes small correction of dorsum may be needed. Only on the basis of in person consultation, an experienced rhinoplasty surgeon, board certified plastic or ENT surgeon, can give you better estimate what and how much needs to be done to achieve your goal. Good luck.

Hello,
Thank you for your question. You can absolutely alter the tip of the nose through cartilage removal, sutures, etc without addressing the dorsum and bones. It can be done using the closed / scarless approach. There is actually a patient with a nose very similar to yours in the gallery below in case you want to see what it looks like with changes to the dorsum/bone. I wish you all the best.
Mark G. Albert, M.D., F.A.C.S.New York, NY and Boston, MA

Yes only the tip can be done without effecting the dorsum or the bones.
Tip-plasty
Tip-plasty is a great procedure to address a bulbous tip only and leave the rest of the nose alone. It can be accomplished through an open or closed approach. The goal is to refine the tip and make it smaller and smoother.
In tips with strong cartilages but thin skin, all that is needed is removing some of the cartilage and softening the rest by gently crushing it (morselizing).
In tips with thick skin and lot of soft tissue or fat, the excess fat and soft tissue is removed along with removing some of the cartilage.
Click on the video link below.
Regards
Dr. J

If your bridge is not lowered at least a little and the bones narrowed you won't get a worthwhile result. Doing the tip only doesn't make sense to me although I'm sure there are surgeons who would think it's fine.

Yes, narrowing the tip alone is definitely possible. It can be done, sometimes, without any incisions at all on the outside of the nose. Minor treatments like this can also sometimes be done in the office instead of under anesthesia.

Thank you for your question. The answer is yes, only addressing the tip is possible. One thing to keep in mind: When you change one area of your nose, it may be necessary to alter an adjacent nasal area so that your nose flows naturally overall. A consultation and clinical exam would definitively tell whether or not a tip rhinoplasty would best suit your goals.

Best of Luck!

Dr. E