Board Certifications: American Board of Facial Plastic and
Reconstructive Surgery American Board of Otolaryngology - ABO

Nasal Tip Rhinoplasty

Many individuals who are interested in undergoing rhinoplasty wish to make changes to the appearance of their nasal tip. Even a small change to the nasal tip can make a huge difference in the overall look of the nose. The area is an extremely important feature of the nose, thus many doctors find nasal tip refinement to be a challenging aspect of rhinoplasty. Our New York rhinoplasty specialist Dr. Rizk has the experience and skills required to provide patients with a nasal tip that better complements their nose and face.

Natural sculpturing of the nasal tip during rhinoplasty is the common goal of nasal tip rhinoplasty. In the vast majority of patients undergoing primary rhinoplasty, it is important to preserve an intact caudal segment (complete strip) of alar cartilage, which extends from the medial crural footplate attachment to the caudal septum to the lateral crural attachment to the pyriform aperture.

According to Dr. Rizk, a double board-certified New York facial plastic surgeon and rhinoplasty expert, it is important to avoid the less predictable healing consequences of the various forms of vertical dome division interrupted strip.

When Should Patients Seek a Nasal Tip Rhinoplasty?

Dissatisfaction with the nasal tip is one of the most common reasons patients seek a rhinoplasty. Common complaints include an overly round or bulbous tip, a drooping tip, and an overall lack of definition and refinement.

In some cases, a tip may not project enough or it is not at an aesthetic angle from the nose. Nasal tip refinement can help provide patients with a more elegant or balanced look, while nose tip reduction can help the nose to harmonize with other facial features.

Older patients often seek to lift a sagging nasal tip, one of the most apparent effects of aging on the face. To achieve the desired outcome, a surgeon must take several factors into consideration. In order for the nose to appear natural, a natural transition must exist between the facial profile and the nasal tip. Additionally, the natural angle between the nose and forehead must be achieved or maintained. It takes careful planning and the use of 3D visualization to ensure that the outcome will appear natural and balanced on the patient’s unique face.

Differentiating Between Nasal Tip Surgery Alternatives

When considering nasal tip surgery alternatives and variations, it is useful to differentiate among incisions, approaches, and techniques. These important distinctions have not always been noted in the literature, leading to confusion and misunderstanding about the indications for and long-term results of individual surgical approaches and techniques.

Incisions are in reality the only way to gain access to nasal tip structures and by themselves exert no major influence on the final tip contour and appearance. If the chosen incision weakens or divides one of the important fundamental tip support mechanisms, then the consequent loss of tip support may adversely affect healing and subsequent tip-supratip relationships. Approaches to the tip may be divided into delivery and non-delivery categories.

Tip Sculpting Techniques

Tip sculpting techniques can be classified as those that preserve a complete strip of intact caudal alar cartilage and those that interrupt the caudal segment to produce an incomplete or interrupted strip.

The concept of a systematic graduated anatomic approach implies the application of the most conservative and most predictable sculpturing operations and incisional approaches to the tips requiring minimal or subtle changes.

As the anatomic deformity encountered becomes more severe, progressively less conservative approaches are utilized. Emphasis is always placed on the conservation of the nasal tip structures, replacing radical dissection with cartilage reorientation and repositioning whenever possible.

The ultimate aim of all techniques is to produce a natural-appearing tip that heals in a predictable fashion in concert with the remainder of the nasal superstructure. Tissue conservation facilitates a nonsurgical appearance.

How Does Dr. Rizk Perform Nasal Tip Refinement?

Techniques are determined by the type of sculpturing modifications made on the alar cartilages that affect a minor or major shape change, projection alteration, and possibly a dynamic cephalic rotation of the tip to enhance the nasal appearance. The technique chosen preoperatively often dictates the approach to be used, a decision made as a result of precise preoperative evaluation and diagnosis of the anatomy of the alar cartilages and the ultimate result desired.

Nasal tip refinement can be performed during open or closed rhinoplasty. Dr. Rizk will determine the best approach based upon the modifications you have requested. Our NYC based surgeon uses a variety of techniques to make changes to the nasal tip. He may use sutures to narrow the tip and increase definition.

Another common approach in nasal tip refinement is the use of cartilage grafts, taken from the patient’s own body. Grafts can be placed to straighten the sides of the nose, improving the appearance of a bulbous or overly rounded nose. In some cases, trimming and reshaping the underlying cartilage and tissues can provide an excellent outcome for the patient. Changes to other parts of the nose may be made at the same time.

Recovery from a nose tip reduction or modification is similar to that of any other rhinoplasty performed by Dr. Rizk.

Approach Used by Dr. Rizk in Nasal Tip Rhinoplasty

Rhinoplasty remains the most challenging of all aesthetic operations since no two procedures are ever quite the same. Each patient's unique nasal configuration and anatomic structure requires individual customized operative planning. Therefore, no single technique will be adequate for the varied anatomic patterns encountered.

This is why Dr. Rizk uses both the endoscopic and open approaches and does not limit himself to one approach. As each case is unique, Dr. Rizk chooses his technique depending on the anatomic abnormality in the nose present and the necessary steps used to achieve the best surgical result.

Dr. Rizk states that repositioning the tip, sculpting the tip cartilages and resection of tissue must be made in a conservative manner. Far more problems and complications arise from the overcorrection of nasal abnormalities than from conservative correction.

How Dr. Rizk Tailors His Approach to Each Patient

There are very few surgical procedures that blend artistic and technical skills to the degree required in aesthetic rhinoplasty. Although it is one of the more common operations performed, only a few surgeons ever master the subtleties and nuances of this procedure.

It is important for a successful rhinoplasty to carefully analyze the nose and its relationship to the face and chin. This careful analysis provides an accurate surgical plan. A realistic estimate of surgical correction, based on the possibilities and limitations imposed by the characteristics of nasal tissue thickness, is important.

Based on this accurate analysis, Dr. Rizk composes an operation predicated on the anatomy and deformity encountered, orchestrating the operation to achieve the intended long-term stable result. Dr. Rizk envisions the result before and during the operation. The goal of the surgery is to fashion a natural nose that is in harmony with its surrounding facial features, does not draw attention to itself, and results in a happy patient. This finesse rhinoplasty approach was refined by Dr. Rizk to achieve the most natural outcome with a rapid recovery.

Working with an Experienced Facial Plastic Surgeon in NYC

If you are seeking changes to your nasal tip, it is very important to choose a doctor who is skilled and experienced in performing rhinoplasty on this part of the nose. Be sure to view before and after photos to confirm that you and your surgeon share a similar aesthetic when it comes to the appearance of the nasal tip.

Dr. Rizk is a double board-certified facial plastic surgeon and nasal tip rhinoplasty specialist. Our office is conveniently located in the heart of Manhattan. Contact us today to set up an initial consultation.

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Written by Dr. Sam Rizk

Date Last Modified: 02/04/2020

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