When seeking rhinoplasty, many look to refine their nasal tip. What has considered ideal varies among sexes and cultures, but ultimately is dependent on the individual face shape and structure.

A bulbous tip is caused by a variety of factors and one of these factors is the actual skin on the nose. Those who have a thicker nasal skin will notice they have a rounder tipped nose and for some of those patients they can successfully have their skin thinned. The second factor deals more with the cartilages. What happens in those cases is that they are too convex, too wide or a combination of both.

When it comes to improving the bulbous tip, there are several misconceptions. The goal is not to simply remove a lot of tissue erroneously to change shape as this causes an unnatural appearance in the nose tip.

In order to make an improvement to the nasal tip, the tip cartilages have to be reoriented versus just making them smaller. This aids in improving the nose tip bulbosity. In the instance of having lower lateral cartilages, the preferred method would be a cephalic trim that is conservative.

If it is discovered that the cartilages are too convex then a dome binding suture needs to be put into place in order to flatten the tip cartilages that are convex. Unfortunately, this is not always enough and a lower lateral crural strut graft will need to be used. This will result in tip support that is better and it will in turn resists the healing process.

Bulbous Tip Treatments
There are many examples of bulbous tip rhinoplasty in our rhinoplasty before and after gallery. The patient on the right is one such example. While there is no one size fits all treatment of a bulbous tip, here a few of the more common ones used.

The Cephalic Trim
This method has been used for several decades in order to reduce the nasal tip. In this technique, approximately 6-9mm of cartilage width remains.

Dome Binding Suturing
This method involves the placement of a suture both above and below the actual tip in order to cinch the cartilage and this will produce a sharper defined tip.

Lower Lateral Crural (LLC) Strut Graft
This is a powerful method for both reducing a bulbous tip and modifying the shape of the nasal tip overall. A successful LLC strut graft is key in having rhinoplasty results that are consistent.

Lower Lateral Crural Overlay
This method involves doing incisions to the lower lateral cartilage across to the short axis.

Tip Defatting
Patients who have thick skin are the best to perform this method on. The fatty pad is trimmed during the rhinoplasty in order to refine the nose shape.

Talking With Your Rhinoplasty Surgeon
If you are interested in rhinoplasty for a bulbous tip or for any other nasal formation or condition, it’s important to seek out a qualified nose surgery specialist to walk you through the process and find the treatment options best suited for you. Each person is different, just as each nose is different. It is important to find a doctor who is experienced and knowledgeable.

At London Rhinoplasty, Dr Kalpesh Patel will address and answer your questions and help you achieve the best results. Book your rhinoplasty consultation today.