I want to know if nose tip refinement is adequate for my nose (Photo)
Doctor Answers 7
Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from a cephalic rotation of your tip to turn up your tip
slightly and a conservative dorsal hump reduction. 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. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
A rhinoplasty that reduces your tip cartilages as well as your dorsal septum slightly would refine your tip. Some cartilage tip grafts would also help. Best wishes, Dr. T.
Rhinoplasty Tip Refinement Only? No
Thanks for your post. A well planned and performed rhinoplasty offers natural results with overall improvement in facial harmony. In my view, you would be unhappy with a tip rhinoplasty alone as related nasal features could also benefit from improved refinement and support. Consider a comprehensive consultation with a reputable Facial Plastic Surgery who specializes in rhinoplasty and discuss your goals for the best recommendations. Best Wishes.
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Tip Refinement Rhinoplasty Takes Finesse
Rhinoplasty is the most challenging of any facial plastic surgery.The tip of the nose is highly structured and nuanced. In your case, you have the extra challenge of very heavy and coarse skin and cartilage at the tip of your nose, which requires additional expertise to revise naturally and beautifully. That said, your nose tip can be reshaped to be more harmonious with your face, while leaving the bridge as is. Any procedures on your lips can be done at the same time. I hope this helps.
Thank you for your question and photographs.
I would recommend scheduling a consultation with a board certified plastic surgeon who specializes in rhinoplasty so they can give you a nasal examination and an accurate opinion on how to correct the things you are unhappy with about your nose. It looks as though you do have a bulbous tip and would benefit from a tip rhinoplasty which includes trimming the lower lateral cartilages and placing precision sutures to refine the tip and make it look more pleasing and proportional to the rest of your face. Best of luck in your endeavors.
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
In order to properly evaluate your nose, you would need to be seen in person and look at your nose from all angles as well as perform an internal exam. Best of luck.
Rhinoplasty for the bulbous tip and thick skin
Thick and sebaceous skin in the tip of the nose will be a significant impediment to seeing refinement in the tip. To make a decision about how thick the skin of the tip of the nose is requires an in-person examination. The bulbous tip cartilages can be reduced and refined with suture techniques and a conservative cartilage removal. For more information, diagrams and many examples, please see the link and the video below