Q: Dr. Eppley, I may be interested in getting a tip rhinoplasty. Should I consider just getting a tip refinement? I’m not really happy with the “box-like” bulbous tip I have naturally. However, if surgery wouldn’t offer me a great advantage, then I wouldn’t risk it. I don’t mind the the rest of my nose. I do like my profile very much. I’m insecure when people see my face front-on due to the width of my nose. I have more photos to send if you would like.
A: What you have is an isolated boxy nasal tip due to the size and separation of the domes of your lower alar cartilages. Your nasal tip could be nicely reshaped through an isolated open tip rhinoplasty. That would solve your nose appearance concerns on a permanent basis.Whether you would consider this type of nose change offers a ‘great advantage’ remains to be determined by you. Based on your stated concerns I would think it would. I will have my assistant pass along the cost of that type of rhinoplasty surgery to you tomorrow.
Dr. Barry Eppley