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When to Choose a Nose Tip Surgery Over Full Rhinoplasty?

Dr. Philip Miller

November 21, 2022

Sometimes the aesthetic improvements you’re looking for can be achieved with nose tip surgery rather than a full rhinoplasty. If your concerns are centered around the appearance of the tip, nasal tip refinement may be sufficient for you. If you’re looking for a more dramatic result that involves other parts of the nose, a full rhinoplasty may be a better choice. 

A nose tip job can effectively address a number of issues to elevate your aesthetic appeal and improve your self-esteem. Before your consultation, check out these common aesthetic concerns to help you determine whether rhinoplasty tip refinement is the right choice for you. 

Droopy Tip

A droopy tip can appear just when you smile or it may be apparent all the time. It can be a genetic trait or the result of a previous rhinoplasty. This cosmetic concern can be altered with a nasal tip rotation surgery that focuses exclusively on lifting and refining the nose tip. 

before and after rhinoplasty surgery results in NY, NY
Rhinoplasty to remove nasal hump and refine tip by Dr. Miller. After surgery, dorsal hump is gone and nasal tip is slightly rotated for a more attractive profile.
Rhinoplasty patient before and after results in new york

This procedure internally points the tip of the nose upwards, increasing the angle between the upper lip and the bottom edge of the nose. This gets rid of the “droopy” appearance. 

There are a variety of ways that Dr. Miller can effectively address a droopy tip. These can include trimming excess cartilage, shortening the nasal septum, or reducing the length of the lateral cartilage. Sutures can be used on lower lateral cartilage to lift the tip, or a graft could be used to increase nasal tip support.

droopy nose correction with rhinoplasty in new york
droopy nose before and after rhinoplasty
Female rhinoplasty patient's before and after results after undergoing surgery with Dr. Philip Miller in New York

Upturned Tip

An upturned tip requires the opposite of the fix for a droopy nose. A nose derotation procedure lowers the upturned tip, decreasing the angle between the upper lip and the bottom edge of the nose. A tip refinement rhinoplasty can often address this issue without the need for a full rhinoplasty. 

Rhinoplasty to improve nose by Dr. Miller. Surgery refines nasal bridge and tip for a more aesthetically pleasing profile.
Rhinoplasty to correct nasal tip and improve facial profile of a female patient by Dr. Miller. Surgery lengthens nose and refines tip to create a more aesthetically pleasing facial profile.
Rhinoplasty to refine the tip by Dr. Miller. After surgery, nasal tip is less pointed and creates a more aesthetically-pleasing profile.

Bulbous Tip

A bulbous tip appears round, like a bulb on the end of the nose. Making this shape less circular and more pointed involves nose tip refinement. By altering the cartilage or using sutures to pull the nasal structure forward, Dr. Miller can resolve a bulbous tip and create a more aesthetically pleasing profile.  

Rhinoplasty to refine the nasal bridge, 3 months post-op, by Dr. Miller. After surgery, bridge is straighter and tip is refined to improve the facial profile.
bulbous nose tip correction with rhinoplasty
Ethnic rhinoplasty to improve the size and shape of the nose of a male patient by Dr. Miller. Surgery creates straighter nasal bridge with a proportionate alar base.

Overprojected Tip

An over-projected tip extends out farther than the average nose. Dr. Miller can effectively reduce the overall size of the nose to bring it into proportion with the rest of the facial features. To refine the tip of the nose, Dr. Miller may remove cartilage from the area. This creates a smaller projection that matches the visual goals of the patient. A full rhinoplasty may also be required to adjust the nasal bridge as well as the tip.

NatraNose rhinoplasty to refine the profile of a male patient. After sugery, nasal bridge is straighter and tip is refined to create a more aesthetically pleasing facial profile.
Rhinoplasty to correct nasal bridge and tip by Dr. Miller. After surgery, dorsal hump is removed and tip is slightly rotated and refined.
Rhinoplasty to correct nasal bridge and improve facial profile of a male patient by Dr. Miller. Surgery straightens bridge and corrects the drooping tip.

Wide Nostrils

Wide nostrils can create a broader base to the nose that may look out of proportion with the other facial features. Dr. Miller can effectively reduce the lower lateral cartilage to create smaller nostrils, and pull them forward to produce a better aesthetic. If you’re dealing with wide nostrils, rhinoplasty for tip refinement may be a great choice for you. If you have wide nostrils and other nasal structure issues that you’d like to have addressed, a full rhinoplasty would be a better option.

Rhinoplasty to correct the nasal bridge and tip by Dr. Miller. After surgery, tip is rotated and bridge is straightened to produce a better profile.
wide nostrils correction with rhinoplasty
Rhinoplasty with buccal fat pad removal for facial enhancement by Dr. Miller. Surgery creates a more proportionate nose and slimmer lower face for a more attractive facial contour.

Benefits of Nose Tip Surgery

There are some benefits to choosing a refined tip rhinoplasty over a full rhinoplasty:

  • Recovery time may be quicker
  • Less bruising and swelling after surgery
  • Tip of nose rhinoplasty might cost less
  • Results last as long as full rhinoplasty
  • Very satisfying results for the right patient

A nasal tip rhinoplasty may not be the right choice if you want correction to your nasal bridge or you have structural issues that impact your breathing. A consultation with an experienced rhinoplasty surgeon will help you determine the best approach for you. 

Getting Nasal Tip Surgery in New York City

Philip J. Miller, MD, FACS, is a double-board certified facial plastic surgeon who has a wealth of experience and expertise in all types of rhinoplasty techniques. He will customize your surgery to ensure a harmonious, beautiful, and natural result. 

Dr. Miller’s proprietary Natralook consultation process helps you achieve aesthetic confidence in a safe environment. By understanding your goals and discussing your needs, Dr. Miller can align your results with your expectations for a positive experience and outcome.  

Contact his office in Manhattan, New York, or New Orleans, Louisiana, to schedule your consultation with him today.

Dr. Philip Miller

Focusing exclusively on the face for more than two decades, double-board certified facial plastic surgeon Dr. Philip Miller blends art and science with innovation and skill to provide thousands of patients with impeccable results. He is known for pioneering the NatraLook methodology for rhinoplasty, facelifts, neck lifts, and other cosmetic procedures for the face.

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Facial Plastic Surgery

Dr. Philip Miller and his team of New York's top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:

Eyelid Plastic Surgery

Dr. Miller and Kaylyn Plum, PA-C provide patients with Manhattan's #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:

Rhinoplasty (Nose Jobs)

Dr. Miller and his staff of NYC's best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:

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Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

The Plastic Surgery Podcast

  • Episode 44: My First Time

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  • Episode 43: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

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  • Episode 42: Osteomas & Lipomas

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Plastic Surgery w/ Dr. Miller

Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

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