Not sure what to do with my slightly bulbous nose. I have provided photos even when smiling when it looks more wide. It appears the nostrils might not be symmetrical as well. I think my bridge is ok though. Do you think i just need a tip plasty?
Answer: Would tip plasty be sufficient to narrow my bulbous nose and balance my features? Improving and refining a bulbous tip are frequent requests of patients wanting nasal refinement. It is possible to improve the cosmetic appearance of the tip alone without altering the rest of the nose in some patients. Whether the optimal option in your particular situation would be a tip rhinoplasty alone or a full rhinoplasty would best be determined at a consultation. Either procedure can be performed with a closed or open approach. The goal should be a balanced natural appearing nose. Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS)) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla,California
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Answer: Would tip plasty be sufficient to narrow my bulbous nose and balance my features? Improving and refining a bulbous tip are frequent requests of patients wanting nasal refinement. It is possible to improve the cosmetic appearance of the tip alone without altering the rest of the nose in some patients. Whether the optimal option in your particular situation would be a tip rhinoplasty alone or a full rhinoplasty would best be determined at a consultation. Either procedure can be performed with a closed or open approach. The goal should be a balanced natural appearing nose. Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS)) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla,California
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January 31, 2015
Answer: Would tip plasty be sufficient to narrow my bulbous nose and balance my features? A rhinoplasty to refine the tip and improve the bridge would probably be better to keep the nose in balance.Kenneth Hughes, MDLos Angeles, CA
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January 31, 2015
Answer: Would tip plasty be sufficient to narrow my bulbous nose and balance my features? A rhinoplasty to refine the tip and improve the bridge would probably be better to keep the nose in balance.Kenneth Hughes, MDLos Angeles, CA
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January 31, 2015
Answer: Rhinplasty I think a balanced rhinoplasty including probably taking down the dorsal hump would be an appropriate thing to do if you are interested in a rhinoplasty.
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January 31, 2015
Answer: Rhinplasty I think a balanced rhinoplasty including probably taking down the dorsal hump would be an appropriate thing to do if you are interested in a rhinoplasty.
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January 30, 2015
Answer: Full rhinoplasty not a tip plasty When a large dorsal hump is present, a full rhinoplasty is required, not a tip plasty, otherwise the nose will be significantly out of balance. The bulbous tip is addressed with suture techniques applied to the lower lateral cartilages of the tip to narrow it. The dorsal hump must be shaved down to match the new tip, and osteotomies of the nasal bones are required to narrow the bridge line. For many examples and more information, please see the video and the link below
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January 30, 2015
Answer: Full rhinoplasty not a tip plasty When a large dorsal hump is present, a full rhinoplasty is required, not a tip plasty, otherwise the nose will be significantly out of balance. The bulbous tip is addressed with suture techniques applied to the lower lateral cartilages of the tip to narrow it. The dorsal hump must be shaved down to match the new tip, and osteotomies of the nasal bones are required to narrow the bridge line. For many examples and more information, please see the video and the link below
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January 30, 2015
Answer: Tip Rhinoplasty? Your photos block out key components in evaluating the nose. The nasofrontal lateral view is blocked. If this is lower you possibly would need something done here to "balance" your nose (cartilage graft). Your dorsum may be a bit high as well. As far as your tip it is slightly bulbous. Since I cannot see the inner aspect of your eyes it is hard to determine if the base of your nose is too wide (that is best way to determine this). It also appears you would need a small tip rotation from what I see on your lateral view. I would recommend yo see a surgeon who has a good history and experience doing rhinoplasties. If they have imaging that can be helpful for you to see what the possile outcomes could be.
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January 30, 2015
Answer: Tip Rhinoplasty? Your photos block out key components in evaluating the nose. The nasofrontal lateral view is blocked. If this is lower you possibly would need something done here to "balance" your nose (cartilage graft). Your dorsum may be a bit high as well. As far as your tip it is slightly bulbous. Since I cannot see the inner aspect of your eyes it is hard to determine if the base of your nose is too wide (that is best way to determine this). It also appears you would need a small tip rotation from what I see on your lateral view. I would recommend yo see a surgeon who has a good history and experience doing rhinoplasties. If they have imaging that can be helpful for you to see what the possile outcomes could be.
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