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Can I have the tip of my nose lifted without full rhinoplasty?

Q:

The tip of my nose drops somewhat.  This makes me feel uncomfortable as my profile looks really weird. Can the surgeon just lift the tip of my nose slightly upward without doing a full rhinoplasty?  Also, would it be cheaper to do just the nose tip?

A:

Yes you can have a tip rhinoplasty only.  However you need to think a little differently. The entire nose is one aesthetic unit with harmony of all its parts and components.  Changing one part may throw other parts out of harmony.

CONSULT A BOARD CERTIFIED PLASTIC SURGEON (AMERICAN BOARD OF PLASTIC SURGERY ) AND DISCUSS YOUR DESIRES AND NEEDS. Computer imaging will help visualize the changes and the overall harmony of the relationship of the nose to all its parts and to the rest of the face.

By concentrating on only one part, you are setting yourself up for a secondary rhinoplasty.

A:

Cosmetic Rhinoplasty is a very important procedure. When you first look at someone you look at their eyes, then track to their nose and mouth.  An individual's nose can make a dramatic first impression.  Consider dividing your nose into parts such as the base, tip, top or dorsum.  Then, take into account your ethnic background.  Write down your concerns and discus them with your plastic surgeon.

Rhinoplasty tip work can often best be accomplished with on Open Rhinoplasty.  A small incision is made in the columella or connection between the tip of your nose and the upper lip.  It divides the right and left nasal vestibules or openings. This allows complete access to the nasal tip.

Do not skimp on your rhinoplasty.  Cheap is not always the best approach to such a critical area of your face. You want the surgery done well and correctly the first time by someone with experience.  Consider one of the many rhinoplasty surgeons whom are members of the American Society for Aesthetic Plastic Surgery (ASAPS).

 

Gary R Culbertson, MD, FACS

A:

Yes, most areas of the nose can be changed independently.  If your tip droops, you have inadequate tip projection, which is correctable (I use tip grafts through a closed approach).

You must, however, consider nasal proportion when you speak to your surgeon.  Your nose must  look balanced, and that may mean doing small things to your bridge to keep balance optimal.

A:

Tip Rhinoplasty – If a patient does not have any other deformity of the nose, in other words, no dorsal hump or wide nasal base, then a tip rhinoplasty may be in order. However, that is the exception and not the rule. It is optimal to look at the entire nose and see both the nasal tip and dorsum as well. These are somewhat different for the tip versus a full rhinoplasty.

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