Can Rhinoplasty Make My Nose Look Pointer And Not So Flat?

Q: Dr. Eppley, I am interested in getting a rhinoplasty. (nose job) I’ve always wanted to have my nose reconstructed so it would look better and more petite. I’d like for it to be a bit pointier and not so flat. I am completely clueless on what steps to take. I have a few pictures so you can see what I mean.

A: When it comes to considering rhinoplasty surgery, you have already identified the the first and most important step…how would I like my new nose to look? In looking at your pictures,  what you have is known as a bifid nasal tip in which the lower alar cartilages are completely separated. This accounts for why you have such a wide and flat nasal tip. The key to improvement is that the tip cartilages need support to obtain more projection through a columellar strut cartilage graft and the lower alar cartilages need to be brought together and narrowed.

While the quality of your nose pictures is very grainy which makes them hard to image, I have done some surgical predictions of nasal tip narrowing results that could be obtained through an open rhinoplasty procedure.

Dr. Barry Eppley

Indianapolis, Indiana