Is it possible to change the nose tip completely from bulbous to pointy/sharp? (Photo)

Question

I am a 23-year-old female with an average height of 5'2". I am considering Rhinoplasty but have reservations about the success of the procedure in terms of what I want. Is it possible to change my bulbous nose tip and convert into the kind shown in the 2nd photo?

Ajaya Kashyap, MD · Answer

Thank-you for your question. A bulbous nose tip can certainly be improved and made sharp, depending on the thickness of the skin. There are multiple techniques involved from trimming the cartilages and the fibro-fatty tissue, to suture techniques and grafts. Please find an experienced Board certified Plastic surgeon near you who can help you achieve the best possible results. All the best!

Suleyman Tas, MD, FEBOPRAS · Answer

Dear Capricorno,

Thanks for your question. You may get your nose slimmer and your bulbous tip more defined than it is now with Closed Atraumatic Rhinoplasty without cutting the tip of your nose. Since you have a thicker skin it will be reduced as much as your tissues will allow that to do. Some skin preparation before surgery is requred. You may see numerous before and after pictures in the link below.

George Bitar, MD · Answer

Your expectations are reasonable.  In order to get your nose from where it is to where you want it to be, you are going to need a rhinoplasty with a trimming of the cartilages of the nose tip and suturing them in a way that creates a more refined tip.  You may also need the nostrils to be trimmed because when the tip is refined, the nostrils may flare out a little bit.  This surgery can be done in 2-3 hours as part of a general surgical rhinoplasty.

Oakley Smith, MD, FRCSC · Answer

Hi, You can certainly have rhinoplasty to help in narrowing the tip of your nose, give it more definition, and reduce its bulbous appearance. It is best for you to consult with a rhinoplasty surgeon and discuss the details of what your nose could look like after the surgery.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Daniel Barrett, MD · Answer

Dear Capricorn20,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from rhinoplasty. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Pranav Jambula, MBBS, MS, MCh · Answer

Good Morning Capricorn20,
I hope this message finds you well. From what I can gather from your image, you are worried about a bulbous tip of your nose along with the lack of clear definition of your nasal tip. These things can be corrected with an open septorhinoplasty but would show final defined results only at the end of 1 year. When done by a board certified aesthetic plastic surgeon - results can be very good. Although an image is a great starting point , I would recommend a video consultation / in person consultation with a board certified Aesthetic Plastic surgeon to take this forward and thoroughly answer your query. 
Dr. Pranav Reddy JambulaIAAPS, ISAPS, APSI, APRAS, ASI MemberMBBS, MS, MCH, IAAPS Fellow

Brajendra Baser, MS, DNB, FRCS(Ed) · Answer

yes bulbous tip can be improved by Nasal Tip Rhinoplasty though no one can promise you customize nose as per your desire, that will be unrealistic

Salih Aydin, MD · Answer

Hello, one of the main purposes of rhinoplasty is to thin the tip of the nose and make it more defined. It is possible that the tip of the nose is as in the second photo you put. However, the most important factor that determines how thin it will be is the thickness of your skin. thinning the tip of the nose can be a little more difficult for thick skin. but if your skin is medium thick or thin, it can make the nose tip thinner as you wish.

Robert Ciardullo, MD · Answer

Can a bulbous tip be made thinner? There are many variations to nasal tip plasty which make a bulbous tip thinner. Some refinement and thinning of the tip is part of the majority of routine rhinoplasties performed. Just how thin the tip will get will depend on how thick the skin is. If the skin is very thick a thinner but not “pointy“ tip will result. It is not necessarily true that the “pointier” the tip is the better. In many cases a thinner though not quite “pointy” tip is preferable.

Is it possible to change the nose tip completely from bulbous to pointy/sharp? (Photo)

Answers (12)

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