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Bifid Nose Tip

A bifid nose tip is characterized by a vertical line or split down the center of the nasal tip. While it does not typically cause functional problems, it can pose a significant cosmetic concern. Fortunately, there are ways to correct a bifid nose tip to enhance the appearance. 

Why do I have a vertical split on my nose?

If you have a nose tip indentation or vertical line on your nose, it’s probably a trait that’s been inherited from your parents. Your genes determine the shape of your nose, and a split nose tip is no exception. Having a line on your nose tip is medically referred to as having a bifid tip nose.

When the soft tissue that spans the two sides of the nose is very thin, the outlines of the underlying cartilages are exposed and poorly camouflaged.   The resulting appearance is called a bifid nasal tip or frontonasal dysplasia. The cartilage in the sides of your nose can consist of two separate parts, and when the gap between them is wide it creates a nose dimple tip. If the cartilages are convex in shape it can form a depression between them, also creating a dent on the tip of your nose, or bifid tip. 

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Is bifid nasal tip common?

A dent in the nose tip is generally a rare occurrence. It’s caused by a relatively uncommon malformation where the nasal cartilages are very prominent and displaced from one another or if the overlying skin is thin and the cartilage edges are exposed. Mild conditions may be hardly noticeable while severe conditions can result in a complete division of the nose, or a cleft nose tip. 

While it’s typically inherited, it can present itself as a new condition with no prior family occurrences. In these cases, genetic material is still the cause of the defect. Due to the lower alar cartilages on the sides of the nose and the septum in the central tip region, the tip of the nose has the greatest amount of variability. This makes it particularly vulnerable to malformation.

bifid nose example
Source: therealjasonbateman Instagram
Not actual patient

How to get rid of an indent on the tip of my nose?

In order to get rid of an indentation on a nose tip, the split in the nose needs to be corrected. This requires the restructuring of the nasal pyramid through a surgical procedure. The necessary rhinoplasty requirements will vary depending on the severity of the split. In some cases, the split may be corrected with minimally-invasive surgery involving sutures. Other patients may require a more extensive rhinoplasty with comprehensive nasal reconstruction.

Learn more about a bifid tip here.

Bifid Nose Treatment Options in New York

Double board-certified facial plastic surgeon Philip J. Miller, MD, FACS, is recognized as an expert in rhinoplasty in Manhattan, New York, and New Orleans, Louisiana.  He offers personalized surgical plans for patients that achieve natural, beautiful results that fit their precise needs and goals. For a more comprehensive understanding of nose treatment options, please consult our glossary.

Bifid Nose Rhinoplasty in NYC

Conveniently located in Manhattan, New York, Dr. Miller is available for rhinoplasty consultations. He will determine the severity of your nose split and the surgical procedures required to correct the condition. The two of you will discuss any aesthetic desires you have for the final shape of your nose. 

Using his proprietary NatraLook consultation process, which he developed to provide an enriching experience to patients that results in true aesthetic confidence. Dr. Miller will create an environment of safety and support for you, customizing your treatment plan to achieve your personal expectations. 

natralook process

How does Dr. Miller correct a bifid nasal tip?

There are different techniques Dr. Miller might use for your rhinoplasty, depending on your specific needs and expectations. The extent of your rhinoplasty will be tailored to your personal specifications.

For mild cases of bifid nose, Dr. Miller may sew the two cartilages of your nose together with internal sutures. Alternatively, he may place a columellar strut cartilage graft between the split cartilages to fill the defect to treat more severe conditions. In some convex cases, the cartilage may need to be reshaped, or a dermal graft needs to be placed on top of the cartilage in aid in camouflage.   Depending on your unique needs, this condition may be corrected with a tip surgery or an entire nasal reshaping procedure.

Bifid Tip Before & After Photos

While bifid nose condition is a rare occurrence and examples are hard to come by, there are plenty of reasons why nose tip rhinoplasties can benefit clients. Here are some examples of nose tip refinement rhinoplasties conducted by Dr. Miller.

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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:

Skin Care Treatments

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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Aesthetic Confidence®

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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

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

    20 min
  • Episode 42: Osteomas & Lipomas

    11 min
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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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