Tip Rhinoplasty: What Is It?

Generally, a rhinoplasty operation may address several distinct anatomic parts of the nose, including the tip, the bridge, the radix (starting point of the bridge at the top of the bridge), and so on...
Tip rhinoplasty refers to a cosmetic nose operation that focuses on alteration of the tip of the nose. The tip of the nose is comprised of skin, subcutaneous tissues, and the paired lower lateral cartilages resembling an arched "M".
The tip of the nose has several aesthetic characteristics that may be altered in a rhinoplasty surgery.
Manipulation of the arched lower lateral cartilages allows your surgeon to increase or decrease the projection of the tip (the distance the tip of the nose projects from the face), the rotation of the tip, the angle between the tip of the nose and the upper lip, the width of the tip, the vertical height of the widest portion of the tip, among other more detailed considerations.
These aspects of the tip may be altered surgically using many different approaches. The external or "open" approach involves an incision on the skin of the collumella (skin between the nostrils)and a few hidden incisions inside of the nostrils, while the internal approach involves only hidden incisions inside of the nostrils.
There is no one way that is better. The best method is the one which your surgeon feels will allow him/her to peform all of the necessary steps for the desired result.

The tip rhinoplasty is one important part of the complete rhinoplasty.  The tip is comprised of the lower third of the nose and is supported by cartilage.  Addressing the tip alone during a "tip rhinoplasty" entails only making adjustments to this lower third of the nose.  These adjustments are often the most complicated in rhinoplasty and require sub-specialized training. Maneuvers included in general rhinoplasty but not in tip rhinoplasty include adjusting the dorsum of the nose, the base of the nose, and the bony portion of the nose near the top.

Great question!
A tip rhinoplasty is simply a rhinoplasty with extra focus on the nasal tip. This can be done in isolation or with other areas of focus on the nose such as a dorsal hump or nasal asymmetry. This can be addressed in either open or closed fashion based on your surgeon and there are a multitude of techniques based on the desired outcome.
Hope this helps!Kyle Kimura, MD

Hello and thank you for your question. Tip rhinoplasty normally refers to only attempting to refine the tip. This often is not the best option for most patients as most patients need a full rhinoplasty in order to achieve a natural looking result. Tip refinement can be accomplished by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. 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

Tip rhinoplasty or tiplasty refers to a specific component of a rhinoplasty procedure where the tip (dome portion of the nose) is modified to create a more desired shape.  For example, a low and bulbous tip and be enhanced to a higher projected tip with better definition.  A patient who has a adequately projected nose bridge may choose to have only the tip area enhanced.  Often times, the tip should be reshaped to be in better harmony with the rest of the nose, including the bridge and alar base to have the best outcome.  Great question!

Tip Rhinoplasty refers to the procedure to shape, sculpt and contour the tip of the nose.  
Tip Plasty can correct:
Overprojected Tip: when the nasal tip stands too far off of the face making the nose large on profileDownward turned Tip: when the nasal is drooping or pulled downward, giving an unwanted hooked appearance Boxy Tipwhen the nasal tip is too wide, tall, bulbous or boxy Upturned nosewhen the nose is overly 'upturned' and the patient seeks a more neutral tip positionAsymmetric Tipwhen the nasal tip is different on the left and right sides
Benefits of a Tip Plasty vs a comprehensive rhinoplasty are:
 Less invasive procedure than a comprehensive rhinoplasty Less downtime with  quicker recovery Does not require general anesthesia, can often be performed in office under local anesthesia
We offer Tip Plasty for many patients because they have one or more of the above mentioned features.  Depending on the case and the specific anatomy, we prefer to perform Tip Rhinoplasty through a scarless aka "closed rhinoplasty" technique as this procedure has no visible scarring and can allow healing faster with no external cuts.  We hope this helps!

A tip rhinoplasty is a type of rhinoplasty that specifically focuses on the tip of the nose.  Tip defining procedures use either cartilage grafting or suturing techniques that harmonize the nose and create a more natural, elegant look.

A tip rhinoplasty is typically performed when a person wishes to address concerns solely involving the tip of the nose. I generally like to break down the analysis of the nose into three parts: the upper third of the nose involving the nasal bones, the middle third involving the lower nasal bridge and nasal valve region, and the lower third involving the nasal tip. A tip rhinoplasty can encompass a variety of issues including tip size, tip shape, and nostril shape. That being said, the best way to find out if a tip rhinoplasty is appropriate is to consult in person with a board-certified rhinoplasty surgeon (facial plastic or plastic surgeon). That way a full exam can be performed to see if one is a good candidate for this more limited version of rhinoplasty surgery.

The main difference is that a tip rhinoplasty  bone is not sculpted, as its name says the purpose is to shape the nasal tip so that it fits with the rest of the nose. the healing process is a bit faster than a open rhinoplasty.
hope you find this helpful.

In most cases, a surgeon will address the tip in any rhinoplasty procedure, because the nose is operated on as a whole and is also part of a bigger whole - your face. However, this mainly entails smaller adjustments of the nasal tip. 
If we are talking about cases without the "standard" bump on the nose, that don't require a size reduction, are not crooked, etc, but have some sort of issue with the nasal tip, there is also a range of things that can be adjusted - from narrowing of the nasal tip, alar base reduction (narrowing of the nostrils), correction of alar retraction (when the nasal holes are too visible, that is the alar arch is too high), droopy nasal tip, etc. 
Some of these aspects can be corrected or altered via closed approach, but some may require open rhinoplasty, which leaves a small scar on the columella. Alar base reduction also leaves a small scar in the crease of your nostrils, since they are literally being reduced in size and repositioned, to achieve a more narrow base of the nose (the width of the nose is being reduced). Depending on the skill level of the surgeon, as well as individual aspects of each patient (skin, healing, etc.) those scars may be more or less visible. 
A droopy nasal tip can be corrected with several methods, but it requires an insertion of a material (a graft taken from your septum or ear cartilage, etc) to define and support the nasal tip. Some surgeons use open, some closed rhinoplasty for this. 
These are just some of the options and methods available. If you're considering having surgery just on the tip of your nose, choose a surgeon who is experienced in this field and can offer you the best possible solution to achieve your desired outcome. Also, keep in mind that, although these procedures do not require the breaking of any bones, it is still surgery and the tip is the most sensitive part of the nose, so the swelling there is present for the longest. 

Dear Realself user,A rhinoplasty surgery is a general procedure that includes the full nose like the hump, nostrills, the side, the tip, and even the inside of the nose.When you are having a nose tip operation you will only be oparated in this area.A nose tip surgery is not suitable for every patient because sometimes only this procedure will not have a result that the patient wishes for.Best regards.
TAS Aesthetic Surgery Clinic