Common Reasons to Have Nasal Tip Refinement

• Boxy or Bulbous Tip
• Flat or Wide Appearance
• Narrow or Pinched Tip
• Drooping Tip
• Retracted Nostrils
• Hanging Columella (area between your nostrils)

Am I a Candidate for Nasal Tip Refinement?

There are several aesthetic characteristics and functional reasons why patients choose to have nasal tip refinement surgery. If you are displeased with the tip of your nose because it is too boxy, wide, bulbous or narrow, you may benefit from this procedure. Many patients who have had a primary rhinoplasty seek this procedure because their nasal tip was made too narrow or has started to droop over time from improper structural support.

Often a drooping, narrow tip can interfere with your ability to breathe normally. To test if this is the case for you:

• Drooping Tip: push the tip of your nose up with your finger.
• Narrow Tip: widen your nostrils with your fingers

If you experience breathing improvement from either test, nasal tip surgery may benefit you both cosmetically and functionally.

Consultation for Nasal Tip Refinement

During your initial consultation, Dr Choroomi will evaluate your nose and facial frame. Photography and digital imaging will be performed to show what cosmetic changes may be possible with nasal tip surgery.

You will have the opportunity to discuss:

• Why you want nasal tip surgery, including expectations and outcomes
• Medical conditions
• Family medical history
• Use of current medications, vitamins, and herbal supplements
• Previous face and nose surgeries

Based on your discussion and his assessment, Dr. Choroomi can determine if nasal tip surgery is right for you. Each patient’s facial and nasal structure is unique, therefor Dr Choroomi customises surgical treatment to match your individual anatomy and goals.  Specific questions regarding surgical procedure, recovery risks, and results will be discussed in detail at your consultation to ensure that you are fully informed.  During all cosmetic consultations all patients will undergo psychological screening and we may refer you to a psychologist.

Preferred Methods for Nasal Tip Refinement

Nasal Tip surgery can be performed under general anesthesia through either an “open” or “closed” surgical procedure. In the “open” approach, a small incision is made through the columella.  The skin and tissues are pulled away from the nose. Dr Choroomi typically prefers this method to nasal tip refinement as it gives superior view and access to the underlying bone and cartilage. A combination of various suturing and grafting techniques may be performed to support and refine the nasal tip.

For minor nasal tip correction, a closed approach may be used. Dr. Choroomi reserves this method for patients needing only the smallest amount of correction, as this must be achieved by operating directly through the nostrils.

Recovery after Nasal Tip Refinement

For isolated nasal tip surgery, the recovery is much shorter than a typical rhinoplasty procedure. Following surgery, a cast will be placed on the nose for protection as it starts to heal. After 7 days Dr. Choroomi will remove the cast and any sutures placed during surgery. Patients may return to normal activity and exercise 10 days following nasal tip surgery.

Bruising and swelling are minimal and should subside within a week after your operation. Although you may see immediate results, the shape will continue to refine and improve over the next 12 months- 2 years.

Non-surgical options for Nasal Tip Refinement

Non-surgical rhinoplasty or ‘Injectable’ rhinoplasty is a treatment for patients who may be hesitant about having surgery, need a minor aesthetic correction or want an idea of what their nose could look like after nasal tip surgery. When dermal fillers are injected under the skin it may disguise a low nasal tip and smooth out any irregularities or asymmetry in the nose. While injectable rhinoplasty can disguise minor irregularities on the nose, it has its limitations on how much correction can be achieved.  Changing the tip position or making the tip smaller can only be accomplished with a surgical procedure.

There is minimal discomfort and minimal downtime after injectable rhinoplasty, however, this treatment is only a temporary fix and will need to be maintained.