1101 MADISON ST #1280 SEATTLE, WASHINGTON 98104 | (206) 624-6200
The Facial Plastic Surgery Center
Dr William Portuese - Board Certified Facial Plastic Surgeon

Rhinoplasty for reduction of the bulbous tip

The bulbous tip is created from wide and divergent lower lateral cartilages that compose the nasal tip anatomy. The bulbous tip is usually not created from the width of the actual cartilages themselves, but the angulation at which they’re oriented in the nasal soft tissue envelope over the nose. To narrow a bulbous tip, this can be accomplished with either a closed rhinoplasty, or an open rhinoplasty depending upon the surgeon’s preference.

Reduction of the bulbous tip

Dr. Portuese prefers to perform this procedure with a closed rhinoplasty approach, whereby all of the incisions are placed completely on the inside of the nose. To narrow the cartilages requires a combination of inter-domal and intra-domal sutures, which narrow them individually, and then narrow them together as a unit. Once the cartilages had been narrowed, some patients also require a conservative cartilage removal as well on the sides of the nasal tip. Removing the cartilage also helps narrow and refine the nasal tip. This is considered a cephalic trim removal of the lower lateral cartilages of the nasal tip. In addition, cartilage grafts can be placed on the top of the nasal dome where the sutures have been placed to give added projection to the tip when needed. This cartilage grafting is helpful in patients who have moderate thickness of the nasal tip skin and poor projection of the tip.

After the cartilage grafts and sutures have been placed, the cartilages are then reinserted back into their normal anatomical position, and the incisions closed with dissolvable catgut sutures. It takes several months to start to see what the new nasal tip looks like due to the swelling that occurs in the area of the nasal tip, which is prolonged. Full healing after a rhinoplasty procedure is one year. When patients have thick skin in the tip of the nose, this is a significant impediment to seeing a very refined result over the nasal tip cartilages. Patients who have thick skin in the nasal tip are poor candidates for open or closed rhinoplasty. Many patients also require taping of the nose in the first 6 months after the procedure, and some patients require cortisone shots to help prevent buildup of fluid and scar tissue in the supratip area of the nose. Follow-up with your operative surgeon is of utmost importance, and is just as important as the surgery itself.

Dr. Portuese performs bulbous tip reduction rhinoplasty at the Seattle Rhinoplasty Center located in Seattle Washington.

The shape and proportion of the nasal tip significantly contribute to the overall aesthetics of the face. For individuals with a bulbous or rounded nasal tip, rhinoplasty offers an effective solution for achieving a more refined and balanced nasal profile. By addressing the specific concerns related to the bulbous tip, rhinoplasty can create a harmonious and attractive facial appearance.

Correcting Bulbous Tip Characteristics:

A bulbous nasal tip is characterized by excess soft tissue and a lack of definition, resulting in a round or wide appearance. Rhinoplasty for bulbous tip reduction focuses on reshaping and refining the tip to create a more defined, proportional, and aesthetically pleasing contour. The procedure involves precise modifications to the underlying cartilage and tissue to achieve the desired shape and symmetry.

Tailored Surgical Techniques:

During a rhinoplasty consultation, a skilled facial plastic surgeon will assess the nasal structure and discuss your aesthetic goals. They will develop a personalized surgical plan using tailored techniques to address the specific characteristics of your bulbous tip. These techniques may include cartilage reshaping, tip suturing, or cartilage grafting to provide structure and definition. By customizing the approach, the surgeon can achieve natural-looking results that complement your unique facial features.

Enhanced Facial Harmony:

Reducing a bulbous nasal tip through rhinoplasty can significantly improve overall facial harmony. By refining the tip, the nose can appear more balanced and proportionate with other facial features. The transformation can enhance the entire facial profile, bringing about a more pleasing and harmonious appearance. Rhinoplasty for bulbous tip reduction can boost self-confidence and improve self-image by providing a more proportionate and aesthetically pleasing nose.

Personalized Results:

One of the advantages of rhinoplasty is its ability to deliver personalized results. During the consultation, your surgeon will carefully listen to your concerns and goals for the procedure. By understanding your specific desires, they can tailor the surgery to your preferences while taking into account your individual nasal anatomy and facial features. The goal is to achieve a natural-looking outcome that meets your expectations and enhances your overall facial aesthetics.

Comprehensive Care and Recovery:

Recovering from rhinoplasty for bulbous tip reduction typically involves a healing process that spans several weeks. Following the procedure, you can expect some swelling and bruising, particularly in the nasal area. Adhering to your surgeon’s post-operative instructions is crucial for ensuring proper healing and achieving optimal results. Your surgeon will provide you with guidelines on pain management, wound care, and activities to avoid during the recovery period. Regular follow-up visits will allow your surgeon to monitor your progress and address any concerns that may arise.

If you are bothered by a bulbous nasal tip, rhinoplasty offers a solution to refine and enhance your appearance. Consult with a qualified facial plastic surgeon to discuss your concerns and explore the possibilities of bulbous tip reduction through rhinoplasty. With the expertise and personalized approach of a skilled surgeon, you can achieve a more defined, balanced, and aesthetically pleasing nasal tip that enhances your overall facial aesthetics.

Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self