I have a bulbous tip, large/wide, and asymmetrical nostrils. What treatment would you recommend for Ethnic Rhinoplasty? (photos)

Hi all! I'm an 18 year old female and I do not like the size and shape of my nose. I believe I have a bulbous tip and very large/wide and asymmetrical nostrils (pic 1-4 of 5). I would prefer my new nose to look as natural as possible (pic 5 of 5), especially as I have such thin lips and small slanted eyes that make my nose look disproportionate to the rest of my face. If anyone can advise or inform me in any way it would be much appreciated. Thank you!

Doctor Answers 4

Corrective a bulbous and asymmetrical nose

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Thank you for your inquiry!

It seems that you are a good candidate for a corrective rhinoplasty correcting your bulbous/asymmetrical nose. The surgery will be geared to provide you with a nasal modification that will complement your facial features pretty well. However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

I have a bulbous tip, large/wide, and asymmetrical nostrils. What treatment would you recommend for Ethnic Rhinoplasty?

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   I think that the tip can be refined along with the bridge and the alar base to get a natural result with a closed rhinoplasty approach.

Kenneth Hughes, MD

Los Angeles, CA

Ethnic rhinoplasty candidate for bulbous tip

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The bulbous tip can be addressed in ethnic rhinoplasty with suture techniques applied to the lower lateral cartilages. This will narrow and refine the width of the nasal tip. An alar plasty can narrow wide nostrils. The bridge line can be narrowed and straightened with osteotomies applied to the nasal bones. For many examples, please see the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Ethnic rhinoplasty

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We often actually need to ADD structure and support to noses like yours rather than remove structure and support. Typically your own nasal cartilage is not strong enough or of enough volume to provide adequate material for this so we often resort to grafts from the ear or even the rib. You should be able to learn more during a consultation from a rhinoplasty specialist.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.