Fixing Bulbous Nose with Rhinoplasty?

Fixing Bulbous Nose with Rhinoplasty, submitted image.

A big nose is every girl's nightmare, and I've had to live with mine my entire life. I thought I'd come to peace with it someday but it looks like that's never going to happen. So now I'm looking for options, the most obvious one being a rhinoplasty, of course. However, my bulbous nasal tip is very prominent and I'm concerned doctors will have a tough time repairing it without making it look strange and unnatural. Most before and after pictures focus on the bridge of the nose, which I assume is easier to fix. Will I ever be able to have a small beautiful nose as well?

4belinda

F, 29, Massachusetts

It's understandable to be concerned about an unnatural looking result to any plastic surgery. An experienced facial plastic surgeon will treat every face differently -- taking into account the unique aesthetic balance of every patient’s facial features.

During the procedure the surgeon will carefully sculpt the nasal tip to balance the composition of the face. The result should look natural and work aesthetically with the rest of the facial features.

Because bulbous noses have a variety of causes, from hypertrophic lower lateral cartilage, to excessive soft tissue coverage, to an overall rounded dome shape -- there is no single approach to the procedure.

Generally speaking, surgery to correct the bulbous tip of a nose involves defatting and suturing the tip to create a more defined, sharper look -- and using cartilage grafts to refine the overall shape of the nose.

The surgery can be performed as either an open or closed rhinoplasty, but the open technique affords greater accuracy and control.

Rhinoplasty to correct a bulbous nose is a technically demanding procedure. Be sure to consult with a board-certified facial plastic surgeon who has performed multiple bulbous tip rhinoplasties.

Those are very common concerns. A bulbous tip rhinoplasty is a common plastic surgery. This surgical procedure to improve the aesthetic appearance of a bulbous nasal tip has reliable results and can look very natural.

When performing the surgery, an experienced facial plastic surgeon will consider not only the shape of the bulbous nose, but the overall balance of the facial features. In some instances the nasal bridge must also be narrowed in order to create a natural looking transition to the newly narrowed tip.

In terms of treatment options, a bulbous tip rhinoplasty procedure can be performed using an open or closed rhinoplasty technique. Because the procedure can be technically complex and challenging, many plastic surgeons will suggest open rhinoplasty, which makes accessing the tip cartilage easier and will give your surgeon a greater degree of control and precision.

For best results, I advise you to contact an experienced, board-certified plastic surgeon with extensive experience in bulbous nose rhinoplasty. Be sure to review before and after photographs of prior work.

Dr. Alexander Ovchinsky has 10 Revision Rhinoplasty before & afters:

» View Dr. Alexander Ovchinsky's full profile

Wide or bulbous nasal tips are a common cause of personal dissatisfaction and a negative self-image. While the procedure is indeed a challenging one, excellent results are reliably achievable.

 

One thing to be aware of: a rhinoplasty involving the nasal tip can be slow to heal and slow to take its final structure. Many rhinoplasty patients report that the best results appear up to one year after surgery.

A rhinoplasty to fix a bulbous tip nose requires cautious, skilled sculpting of tip cartilage. For this reason I recommend an open rhinoplasty rather than a closed one. An open rhinoplasty allows for much more detailed work, enabling us to achieve a more polished, beautiful result.

Always be sure to consult a board-certified plastic surgeon with a history of success in the procedure you are seeking.

Rhinoplasties to reduce a bulbous nasal tip are very common and effective. Please keep in mind that making a wide nose with a bulbous-tip more slender can take some time to achieve. As with any rhinoplasty, the best results often appear up to one year after the nose surgery. The time involved is especially important to mention in this case. however, as tip swelling can be one of the slowest types of swelling to resolve.

During the procedure we will typically add cartilage grafts in order to improve your overall nasal structure. We also usually remove some fat from the nasal tip, and carefully shape the tip cartilage to create a beautiful sculpted look.

To address your specific concerns about looking “strange” or “unnatural”: We take great care to maintain a natural-looking structure that “fits” with your face. As with any plastic surgery, I like to help patients make decisions that will work best for their specific facial structure.

I encourage you to arrange for a consultation to discuss the many options that are available. No plastic surgeon should ever recommend a one-size-fits-all solution. Every face is different and every procedure is different.

We can show you some before and after photos of bulbous tip rhinoplasties I have performed. I think you will be impressed with our results.

Dr. Robert Brueck has 1 Nose job before & after:

» View Dr. Robert Brueck's full profile

A bulbous tip is one of the greatest reasons to have a rhinoplasty. I can make a more dramatic change on that then on the dorsal hump. It is a bit more of a challenging surgery and requires an open rhinoplasty in my hands. However it is a wonderful procedure with dramatic results

Dr. Christopher Park has 1 Nose job before & after:

» View Dr. Christopher Park's full profile

Dear 4belinda:

Thank you for sharing your photo. The smaller, more refined tip you look for is a reasonable request today! Prior to 25 years ago, the bridge as you correctly describe was filed or rasped down with tip elevation using internal (only) incisions. The “Rhino renaissance” of the past quarter century has provided new perspective and approaches for a finer appearance to the nose; particularly the tip you find wide and separated; ie “bulbous” or bifid. Your skin is thin and will drape over the tip beautifully which is not the case of other round nasal tips due to thick and sebaceous skin.

 

I would agree that base in this single photo your already beautiful face would look spectacular with a Tip Rhinoplasty where only the tip needs finesse and not the rest of the nose.

 

You may find more information at:

http://emedicine.medscape.com/article/839986-overview?pa=IlYh%2BL1rnL4sPT40GFHnaow%2BC%2FNPA27pHkrnnnVhlUZa6ks4IveBGHS1R6LLm5I4NFsYxDuz%2Fz2hge3aAwEFsw%3D%3D#a9, http://drdeankane.com/nose-reshaping-in-baltimore-maryland/

 

You also have one of the International Leaders in Rhinoplasty named Mark Constantian, MD, 603-880-7700 in nearby Nashua, NH. If not him, please consult with a well experienced, skilled and talented Board Certified Plastic Surgeon.

 

I wish you the best!

Actually your complaint is quite common and an easy thing to correct.  A bulbous tip is the most straight forward and easiest type of Rhinoplasty to correct.   Make sure you meet with a board certified plastic surgeon to discuss your concerns.  He or she should spend time with you explaining the pros and cons of surgery and you should feel comfortable with that surgeon before booking anything.

Belinda,

A bulbous tip is one of the easiest and most straight forward of the nasal "deformities" to improve. You are an attractive person and would greatly benefit from rhinoplasty. Best of luck to you.

Dr. Paul Chasan has 5 Nose job before & afters:

» View Dr. Paul Chasan's full profile

A bulbous tip is one of the most straightforward and rewarding conditions to improve in rhinoplasty! Don't wait any longer! 

It's a common complaint for patients requesting rhinoplasty.  Make sure your plastic surgeon is experienced, closed or open rhinoplasty depends on anatomical problems to be corrected. Good luck 

Seek many in person consultations with boarded surgeons. Ask to see before and after photos of their operations. Than decide whom you feel most confident with. Good Luck. 

Sure.   You can certainly have the surgery you wish to have.  The plastic surgeon you visit should be able to discuss your surgical options and what is a realistic expectation and what is a surgically realistic result.  Make sure that you choose a surgeon who has experience, board certified, and will show you photos of patients with a similar problem that you are presenting with

Dr. Jonathan Berman has 1 Nose job, Chin implant before & after:

» View Dr. Jonathan Berman's full profile

Hi-

  Yes your concerns are common and absolutely fixable. I would recommend an open rhinoplasty to be able to improve visualization of the underlying framework of your nose to address your complaints. Good Luck! 

Yes you can have modification of the nasal tip. Recommend open rhinoplasty