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Bulbous Nose Job: Everything You Need to Know About Bulbous Nose Tip Surgery

The nose plays an important role in overall facial harmony. Its size and shape can emphasize or detract attention from your other facial features, giving it an outsized effect on your appearance.

Unsurprisingly, the nose is a source of insecurity for many people—enough to make nose reshaping the fourth most common surgical procedure in the country.

At Beverly Hills Rhinoplasty Center, many of our patients approach us with a very common issue: a bulbous nose tip. If you wish to know more about getting a bulbous nose job, we’ve prepared this comprehensive guide for you.

before and after photo on a front profile view of a female patient with bulbous nose who underwent a bulbous nose jobbefore and after photo on a front profile view of a female patient with bulbous nose who underwent a bulbous nose tip rhinoplasty

What is a bulbous nose tip?

As the name suggests, a bulbous nose tip refers to a condition where the end of one’s nose is excessively rounded or bulging, almost as if it were a bulb. In some cases, the tip might also be upturned, drooping, or hooked, creating an unflattering look.

When the nose tip is much wider than the bridge, it makes the nose too broad relative to the rest of the face. This imbalance throws off facial symmetry and may detract from your natural attractiveness.

Causes of a bulbous nose tip

In general, a bulbous nose tip is genetic in nature. More specifically, there are several physiological factors that can lead to such an appearance:

  • Oversized lower lateral cartilage — It may be that your nose has a larger lower lateral cartilage, which can lead to a pronounced nasal tip.
  • Convex nasal cartilage — Ideally, the lower lateral cartilage is either relatively flat or only slightly convex. People with a rounded nose tip, however, have cartilages that are especially rounded.
  • Cartilage position — If the cartilage is positioned more vertically than is ideal, it may make the nose tip fuller in appearance.
  • Tissue coverage — Excessive soft-tissue may be concentrated at the tip of the nose, thus causing the area to look more bulbous.

In many cases, a combination of these factors will make the nose look rounded and protruding. As such, no two nose tip rhinoplasty procedures will be the same.

Characteristics of a bulbous nose tip

To help you better understand if you have a bulbous nose tip and whether a bulbous nose job is called for, ask yourself these questions:

  • Is the end of your nose overly prominent or ill-defined?
  • Is the tip rounded or bulging?
  • Is there a marked difference in symmetry between the upper and lower halves of your nose?
  • Does the tip interrupt the gently curving line that runs from the top to the end of your nose?

If you answered yes to most of these questions, you may be a good candidate for nose tip surgery. In the sections below, we will delve further into this procedure so you can better understand its benefits.

Why get a bulbous nose job?

The good news is that you don’t have to live with a bulbous nose tip if you’re unhappy with it. Thanks to major advances in plastic surgery, this imperfection can be corrected fairly quickly by an experienced rhinoplasty expert like Dr. Deepak Raj Dugar. Here’s why you should consider getting a bulbous nose job:

  • Gain confidence — If you’ve always been conscious about your prominent nose tip, getting a nose job for a bulbous nose could give you some much-needed confidence. This boost in self-esteem can change the way you look at yourself and the world.
  • Scarless — Dr. Dugar has dedicated his career to mastering scarless nose jobs, otherwise known as closed rhinoplasty. In this method, all incisions are made inside the nose so no external scars are produced. Since nose tip surgery involves reshaping only a very specific part of the nose, this surgical technique is highly compatible.
  • Outpatient procedure — Most patients are surprised by how quickly a bulbous nose job can be completed, which typically takes no more than two hours. Even better, it’s an outpatient procedure so there’s no need for long confinement. Most people can get back to normal day-to-day life in around one week.
  • Subtle transformation — The goal of nose tip rhinoplasty is not to overhaul one’s nose but to enhance what’s already there. After undergoing the procedure, there will be a subtle but positive change to your look—one that gets you compliments, not questions.

Of course, all surgical procedures carry some risk. Since nose jobs are minimally invasive, however, they are perfectly safe for the vast majority of patients who visit our clinic.

Surgical corrections of a bulbous nose tip

As mentioned above, several physiological factors can cause a bulbous nose tip. Hence, there are also several ways to surgically reduce the protrusion, including:

  • Suture reshaping — In this method, sutures are used to bring the domal segments of the lower lateral cartilage, thereby narrowing the tip of the nose. The sutures will eventually be absorbed by the body as if they were never there.
  • Cephalic trimming — The lower alar cartilages are horse-shoe shaped cartilages that determine the position and shape of the nose’s tip. If it is especially prominent, it can contribute to a wider and more bulbous shape. A cephalic trim involves removing part of the lower alar cartilages to create a narrower nasal tip.
  • Cartilage grafting — A patient’s own cartilage can be culled from one area and grafted onto another to reshape the nose. By placing the grafted cartilage in strategic locations, plastic surgeons can improve tip definition and create an aesthetically pleasing nose line.
  • Open or closed rhinoplasty — About 99% of plastic surgeons employ what’s called open rhinoplasty, which involves making an external incision at the base of the nose. This technique gives surgeons easy access to the nose’s tissue envelope, but it leaves a permanent scar. In contrast, closed rhinoplasty uses internal incisions, thus leaving no visible scars and therefore more natural-looking results.

As you can see, there is no one-size-fits-all solution for a bulbous nose tip. A trusted plastic surgeon like Dr. Dugar will closely assess your nose’s structure to determine the technique that can best achieve your desired results.

Preparing yourself for a bulbous nose tip surgery

Patients’ safety and comfort are paramount to Dr. Dugar. That’s why he provides ample information to clients before a procedure to minimize risks and to promote faster healing. These include reminders such as:

  • Avoid taking unprescribed medicines — Do not take any unprescribed drugs as these can counteract the effects of anesthesia during the operation. Be sure to also inform the team of all the medications you take, including prescription drugs, vitamins, and any other supplements. Disclosure is especially important if you’re taking blood-thinning, diabetes, pain, anxiety, or cannabidiol-based medications.
  • No prolonged sun exposure for 10 days — Strong sunlight can trigger inflammation of the skin, which in turn can hinder its ability to heal post-operation. As such, hold off on sunbathing and using tanning beds two weeks before getting your bulbous nose job. Limit sun exposure as much as you can and slather on an SPF 30 sunscreen if you can’t avoid heading out.
  • No smoking and alcohol for four weeks — All surgeries involve some level of bleeding. Unfortunately, alcohol has a blood-thinning effect, which can interfere with your body’s ability to form wound-healing blood clots. Smoking, meanwhile, reduces blood flow which can further delay the closing of surgical wounds. It can also weaken your immune system, making you more susceptible to post-op infection.
  • No caffeine for two weeks — As a precaution, you should also stop drinking caffeinated beverages two weeks before your nose tip rhinoplasty. Caffeine is known to increase blood pressure and this can create complications for people with hypertension or heart problems. Swap out drinks like coffee, tea, energy drinks, and sodas with good, old-fashioned water.
  • No citrus juices for 24 hours before surgery — Fruit juices are highly acidic and thus can irritate your stomach. As such, we recommend not drinking citrus-based beverages before your surgery so you won’t have to worry about going under the knife with an upset tummy.
  • No eating or drinking after midnight before your surgery — You must refrain from eating and drinking at least 12 hours before your nose tip surgery. Since you will be under general anesthesia, you will need to have an empty stomach.

Post-care surgery for bulbous nose tip rhinoplasty

While a nose job for a bulbous nose is minimally invasive, it is still surgery. Hence, patients require ample post-op care to facilitate a fast and trouble-free recovery. Dr. Dugar provides the following tips:

  • Stay in bed and keep your head elevated for the first 24 hours — Your body needs time to recover from your bulbous nose job, so spend the following day on bed rest. To prevent swelling and to minimize pain, always keep your head higher than your body. If you’re dealing with post-op pain, you are allowed to take only TYLENOL® in the recommended dosage.
  • Use an ice glove compress five times a day — After the surgery, blood vessels in your nasal region will dilate to ferry more blood into the incision sites, helping the wounds heal faster. Unfortunately, this may also result in swelling and discomfort. Dr. Dugar recommends using the provided ice glove compress up to five times a day to help control inflammation. Use the compress until the ice melts which is usually 10-20 minutes.
  • Eat a soft, light, and cool food — Traces of general anesthesia will still be in your system the following day and the aforementioned food can help minimize its side effects. Hard or tough food should also be avoided as excessive chewing can aggravate the nasal region. Stay away from hot or spicy food as well, as they can dilate blood vessels and potentially exacerbate swelling.
  • Don’t blow your nose — Incisions heal faster if they are left undisturbed, which is why blowing your nose must be avoided. If there is blockage or drainage in your nose, you may gently sniff up, swallow or spit out any contents but do not blow your nose and try to clean the inside of your nose itself. It is very common for patients to sneeze after the procedure. If you do, make sure to sneeze with your mouth open to avoid any pressure on the site. It is normal to feel like you have a stuffy nose or congestion after the first couple of weeks of surgery.
  • Don’t brush your front teeth for the first day after surgery — The muscles of your upper lip and nose are closely connected, so brushing your front teeth will inevitably cause some discomfort. Brush only your lower teeth for the time being and gently gargle some mouthwash. You can return to normal brushing 48 hours after your procedure.
  • Don’t expose your nose to the sun for the next 6 weeks — Excessive sunlight may cause swelling, which can hamper recovery. No extreme activities for the first 6 weeks after your procedure.
  • No extreme activities for the first six weeks — Trauma to the nose can undo the benefits of rhinoplasty, which is why plastic surgeons temporarily advise against activities where the risk of injury is high (such as sports). Workouts such as running, jumping, or jogging should also be avoided, along with those that involve bending your head forward. Give swimming a pass, too, as pool water might have bacteria that can trigger infection.
  • Don’t wear heavy glasses — Your nasal region will be very tender in the next few weeks and putting on heavy eyewear can make it even more so. Stick to thinner-framed glasses or switch to contact lenses for now to avoid discomfort.
  • Take prescribed medications — To help manage pain and promote healing, Dr. Dugar will prescribe medications that include analgesics, anti-inflammatories, and antibiotics. Be sure to take all of these as prescribed to avoid any postoperative complications.
  • Contact Dr. Dugar immediately if there’s any excessive bleeding or pain — Get in touch with the clinic ASAP if you suspect any complications after your nose job for a bulbous nose.

If you’d like further information about pre-op preparations and post-op care, you may download this comprehensive guide.

Why choose Dr. Deepak Raj Dugar for your bulbous nose job surgery?

There’s no shortage of plastic surgeons in Beverly Hills, but Dr. Dugar is the only board-certified rhinoplasty surgeon who has spent his entire career mastering Scarless Nose™ Surgery. This is because he understands that a nose job for a bulbous nose is equal parts medicine and art form.

Dr. Dugar began his journey into cosmetic surgery at The George Washington University, where he was admitted into the highly competitive 7-year B.A./M.D. combined medical program. During his studies in D.C., he sought mentorship under legendary cosmetic surgeons such as Dr. Raj Kanodia, Dr. Jean Louis Sebagh, Dr. Bruce Feldman, Dr. Eugene Tardy, Dr. Norman Pastorek, and Dr. Sherrel Aston.

He continued his training at the elite Facial Plastic Surgery program at The University of North Carolina, where he was recognized as “Best Plastic Surgery Intern of the Year.” After graduating and getting his board certification, he earned an Advanced Closed Rhinoplasty Fellowship with Dr. Kanodia, a world-renowned practitioner of Scarless Nose™ Surgery.

For his artful surgical technique, he has attracted a roster of A-list clients, which includes celebrities, models, and athletes, among others. Dr. Dugar has also served as a contributor and advisor to The Huffington Post, Allure Magazine, Haute Living, Refinery 29, CBS’ The Doctors, E! News, and Sirius XM Radio.

Costs

Dr. Dugar devises bespoke rhinoplasty plans for each client, so prices may vary. However, a typical bulbous nose job ranges from $13,000 – $16,000 for primary noses (i.e. those that have never been operated on). Revision rhinoplasty, meanwhile, starts at $15,000 and might cost more depending on the enhancements you want.

before and after photo on a right profile view of a female patient with bulbous nose who underwent a bulbous nose jobbefore and after photo on a right profile view of a female patient with bulbous nose who underwent a nose tip surgeryscarless rhinoplasty

Experience the Scarless Nose™ difference

Interested in getting bulbous nose tip enhancement? Schedule a consultation with Dr. Dugar today! Simply click here to get started.


Author

Dr. Deepak Dugar

Director of Beverly Hills Rhinoplasty Center - Home of the Scarless Nose™ (Closed Rhinoplasty) Director of Scarless Med Spa