If you have an unusual feature to your nose, such as tip cartilages that are
more prominent than average, you must demand that the plastic surgeon you are
interviewing show you before and after pictures of his patients with similar
features. If you don't see the pictures, you have no idea whether he can
accomplish the changes you want for yourself.
FacialSurgery.com has a page containing my slightly cynical but completely
on finding a competent plastic surgeon.
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Rhinoplasty for bulbous very round nose?
I am a 20 year old white female. My nose is very very round/boulbous. The bridge is fairly straight, but the tip throws it off. I think my skin is pretty thick, (i know that can be an issue with rhinoplasty) but how do I know if it is thick? Would I just need a tip rhinoplasty or a full one? What should I expect? I am also haveing a hard time finding a before and after of a white female with a nose as boulbous as mine, so if you could send me one that would help.
(Questioner submitted photos)
Dr. Denenberg's answer: Perhaps work on more than just the width of the tip
I see the width of the tip, and indeed it's possible to improve your nasal tip (see the Web link below). My suggestion would be to make a couple other changes at the same time, such as elevating the tip a small amount and taking down the small bump along the bridge of your nose. The video link below shows a simulation of those changes.
Be careful to see the before and after photos of any doctor you are considering for this operation. Work on a tip like yours is extremely difficult, and most plastic surgeons wouldn't be able to handle it expertly. Before and after profile pictures where a hump was removed don't tell you if the surgeon can work on the tip of the nose.
Link to this question on RealSelf.com