This nose was missing some of its middle section, along the dorsum.
I reconstructed it by placing an artificial material in the
There are many materials that can be used successfully to build up part of
the nose. Some of the materials are natural (the patient's own bone or
cartilage, stolen from another part of the body), and some are artificial.
I generally prefer the artificial materials, at least today, for several
reasons. One of the most important reasons is that a soft, artificial
material can sit in the nose without showing a sharp edge or corner.
Smoother materials can make the nose look more natural.
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How Do You Fix a Nose with a Bulbous Tip?
How exactly is excess tissue removed from the tip of the nose?
(Questioner submitted photos)
Dr. Denenberg's answer: By modifying the cartilages in the tip, not so much by removing them!
The tip cartilages are very thin, but they are arched, and if the arches are wider, then then the tip will look wider. There are various ways to change the position and shape of the cartilages to narrow the tip.
The Web reference link below goes to the first page of an essay I wrote on narrowing the tip of the nose. Careful, though, because there are photos taken during surgery, although not on the very first page of the essay.
Link to this question on RealSelf.com