The bulbous nasal tip is can be a cause of embarrassment for many. The bulbous nose appears like the tip is much wider than the nasal bridge. The bulbous nose makes the nose appear wide and there is no definition to the tip of the nose.

What causes the bulbous nasal tip?

The bulbous tip is caused by the wide cartilages that give the nose a poor shape. Mainly it is the lower lateral cartilages that give the bulbous tip its shape. In some the nose looks like it has put on a lot of weight. The shape of the nasal tip is defined by the shape of the dome region. The dome region is the pace where the two lateral lower cartilages separate from each other to give support to the nostrils on each side. Ideally the dome cartilage should give the nasal tip a nice soft triangular shape. And if this region is excessively wide it gives the nose a bulbous tip appearance.

How to correct the bulbous nasal tip

The obvious solution to correcting the bulbous nasal tip is to correct the cartilages underneath and modify them to the desired shape. A bit of nasal tip rotation is also involved in this process to add to the aesthetics of the nose and the overall face. This is also one of the Rhinoplasty procedures. It can be done as a standalone procedure or it can be combines with other Rhinoplasty process to correct the deformities at the same time.

Carving the cartilages and then connecting them using surgical threads to refine their shape requires the expert hands of an experienced Rhinoplasty surgeon. There are many considerations to the process of Rhinoplasty for correcting the bulbous nasal tip and some of these include

  • Patient’s present health condition
  • Cause of the bulbous tip
  • The overlying skin
  • Strength of the cartilages. If they are weakened by previous surgeries then it will be difficult to carve them properly.

Procedures for correcting Bulbous Nasal Tip and Tip Rotation

There are three main procedures that are used worldwide to correct the nasal tip shape and rotation. These include

Traditional reshaping using sutures

In this method of Rhinoplasty permanent sutures are used to bring the cartilages in shape and bind the done to narrow the tip. This helps in improving the nasal tip giving it a shapelier look.

Cartilage trimming

Another popular method of reshaping the tip of the nose is to trim the overly wide cartilages. These cartilages are found along the cephalic edge and hence this process is also known as cephalic trimming. When the cartilages are trimmed the nose loses it bulbous look and appears slim with a defined nasal tip. However, this process should be done very carefully has there is a chance of losing the nasal symmetry if the trimming is not even. Also if the cartilage is trimmed too much then there can be a risk of the collapse of the nasal tip because then the cartilage will be insufficient to support the tip. Therefore for an expert surgeon the key will be to balance the trimming and the tip support to give long lasting change.

Cartilage Grafting

The third popular method is cartilage grafting. In this process the patient’s cartilage is placed under the lateral cartilage to give is the extra support that is needed to bring tin the shape. The cartilage is taken from the patient’s own septum, ear or rib and after careful shaping sutured along with the existing cartilage which straightens the bulbous cartilage which in turn gives the nose the trim and triangular look.

Another important aspect that the surgeon needs to keep in mind is that the condition of the overlaying skin should be carefully assessed. The bulbous tip Rhinoplasty is only successful if the skin makes proper contact with the refined cartilage otherwise the shape will not show.

Post the Rhinoplasty for bulbous nose, you will be able to see the results in few weeks. The nose will feel stiff, this is because of the shape and support given to it.

The Bulbous Nasal Tip Before After Photos, See the Patient Results-


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

Contact Us

Find Us on Facebook