Nasal Tip Plasty and Nose Tip Surgery in Istanbul, Turkey

Nose Tip Aesthetic



The area at the bottom of nose and the front area of nostrils is called the "nasal tip" or "nose tip" and this is the most noticeable nose area in generally. Reshaping surgery of nose tip for functional or cosmetic reasons defined as "Nasal Tip Plasty" ("Tip Plasty" / "Tip Rhinoplasty" / "Nasal Tip Projection Rhinoplasty"). Nasal tip surgery can be performed for functional or aesthetic reasons. Treatment of collapse or asymmetry in the wings of the nose can also provide relief in nasal breathing. Although the nose tip aesthetic operation is performed with open and closed techniques; I usually prefer the open technique. In patients with thick skin features, subcutaneous tissue can be excised and the skin can be made thinner with two-level dissection in order to nose skin thinning. 

As a part of nasal tip aesthetic operations, nasal valve surgery and nasal tip lifting operations, shaping the nose wings (alarplasty) can also be performed. In patients with a broad and wide nasal tip, the diameter of the nostrils can be reduced by simultaneous alar base resection, the nostrils can be rounded by turning the wings more inward. Although the procedure can be performed under local anesthesia; It is more convenient to perform the procedure under general anesthesia. Although the procedure can be performed under local anesthesia; It is more convenient to perform the procedure under general anesthesia. Pain during local anesthetic injection is the main problem. During the nasal tip aesthetic operation, procedures for nasal septum deviation can also be performed.

Nose tip plasty, also known as tip rhinoplasty or nasal tip surgery, is a cosmetic procedure focused on reshaping and enhancing the appearance of the nasal tip. It is a popular surgical option for individuals who are unhappy with the shape, size, or projection of their nose tip.

Nasal tip lifting, nasal valve surgery, before and after video:

In the video above, there is a before and after image of a patient who had a septoplasty operation at a different clinic and had a downward sagging nose tip. The patient had an open technique nose operation, as well as a nose tip lift and nasal valve surgery.

The nasal tip plays a crucial role in defining the overall aesthetic of the nose. It can greatly influence the balance and harmony of the face. Nose tip plasty aims to create a more refined, proportionate, and attractive nasal tip that complements the patient's facial features.

During a nose tip plasty procedure, the surgeon makes small incisions, usually on the inside of the nostrils (closed rhinoplasty), or sometimes on the columella (the thin strip of tissue separating the nostrils) in an open rhinoplasty approach. Through these incisions, the surgeon gains access to the underlying cartilage and tissue of the nasal tip.

The surgeon may employ various techniques to achieve the desired changes to the nasal tip. These techniques include:

Tip Reduction: If the nasal tip is overly large or bulbous, the surgeon may remove a small amount of excess cartilage or tissue to create a more refined and proportional tip.

Tip Refinement: This technique involves reshaping and sculpting the existing cartilage to enhance the definition and contour of the nasal tip. It may involve suturing techniques or cartilage grafting to achieve the desired outcome.

Tip Projection: If the nasal tip lacks projection and appears flat or droopy, the surgeon may use grafting techniques to increase the tip projection, creating a more defined and balanced appearance.

Tip Rotation: In cases where the nasal tip is excessively upturned or downturned, the surgeon can adjust the angle of the tip to achieve a more natural and harmonious look.

Alar Base Modification (Alarplasty): In some cases, the surgeon may perform alar base modification alongside the nose tip plasty to address wide nostrils or asymmetry. This procedure can help achieve a more balanced and proportionate overall nose appearance.

Like any surgical procedure, nose tip plasty carries some risks, including potential bleeding, infection, scarring, and adverse reactions to anesthesia. It is important to consult with a qualified and experienced plastic surgeon who can evaluate your individual case, discuss your expectations, and guide you through the potential risks and benefits.

Recovery from nose tip plasty typically involves a period of swelling, bruising, and mild discomfort. The patient may need to wear a splint or cast on the nose for a few days to support the healing process. Most individuals can resume their normal activities within one to two weeks, although the final results may take several months to fully manifest as the swelling subsides and the tissues settle.

It is crucial to have realistic expectations and open communication with your surgeon about the desired outcome of the procedure. Nose tip plasty can help enhance facial harmony and boost self-confidence, but it is important to remember that individual results may vary based on factors such as nasal anatomy, healing capacity, and aesthetic goals.

The above patient underwent an open technique tip plasty operation.

The above patient underwent an open technique tip plasty operation.

Although different techniques have been defined for shaping (uplifting, narrowing, lengthening or shortening) the tip of the nose; many surgeons have "personal techniques" derived from combining multiple techniques. There are a number of techniques to change the shape and angle of the nasal cartilages, including various suturing techniques, the use of grafts, or the folding of the cartilages.

Nasal tip aesthetic surgery or type plasty surgery is performed for the purpose of changing or improving the nose tip aesthetically and functionally. It can also be planned under general anesthesia or local anesthesia and without a tampon. In patients with lower than normal nasal tip and weak nasal tip support, problems such as looking down on the tip of the nose while laughing, breathing problems and an increase in the low nasal tip over time may occur. In these patients, by using very simple and minimal traumatic techniques, narrowing and straightening of the tip of the nose can be achieved; at the same time, the appearance of shortening in the nose length can be obtained.

Nasal tip aesthetics can be performed alone or as part of classical rhinoplasty operations, and this procedure is the most difficult part of rhinoplasty surgery. This surgery is performed under local or general anesthesia and usually in hospital operating rooms. Techniques can be selected according to the patient's personal nose structure. During the procedure, septum deviation operation, turbinate volume reduction, nasal valve surgery can also be performed in order to widen or normalize the intranasal air passage.

Tip area of the nose is the most noticeable place. Deformities in this region can cause problems which related with nasal breathing and aesthetic appearance.

Tip-plasty operation can be performed as part of rhinoplasty procedures. Nasal tip-plasty is a very important part of rhinoplasty surgery. The main purposes of tip-plasty procedure are to create a beautiful, natural, symmetrical and functional nasal tip.

Open technique nose tip plasty, also known as open tip rhinoplasty or external tip rhinoplasty, is a surgical procedure that involves making a small incision on the columella, the strip of tissue between the nostrils, in order to access and modify the nasal tip. It is one of the approaches used in nose tip plasty and offers certain advantages in specific cases.

In an open technique nose tip plasty, the surgeon creates a small incision on the columella, which allows for better visibility and direct access to the nasal structures. This approach provides a clear view of the nasal tip cartilage, enabling the surgeon to make precise modifications to achieve the desired results.

The open technique is particularly beneficial in complex cases that require extensive reshaping or reconstruction of the nasal tip. It allows for a more comprehensive assessment of the nasal structures and a greater degree of control during the surgery. This makes it an ideal choice for patients with significant nasal deformities or those requiring more extensive changes to the nasal tip.

During the procedure, the surgeon lifts the skin of the nose, providing a full view of the underlying cartilage and tissue. This allows for a thorough evaluation of the nasal framework and enables the surgeon to reshape, refine, or augment the nasal tip as needed. The incision on the columella is typically well-hidden and tends to heal nicely, leaving minimal visible scarring.

The open technique also facilitates the use of cartilage grafts, if necessary. These grafts may be harvested from the patient's septum (the cartilage partition between the nostrils) or, in some cases, from other sources such as the ear or rib. Cartilage grafts can be used to enhance the projection, definition, or support of the nasal tip, depending on the patient's aesthetic goals and anatomical requirements.

Like any surgical procedure, open technique nose tip plasty carries some risks and potential complications. These may include bleeding, infection, scarring, changes in nasal sensation, and unfavorable cosmetic outcomes. It is crucial to choose a skilled and experienced surgeon who is proficient in open rhinoplasty techniques to minimize these risks and achieve optimal results.

Recovery from open technique nose tip plasty is similar to other rhinoplasty procedures. Patients can expect some swelling, bruising, and discomfort in the initial days following the surgery. A splint or cast may be placed on the nose to provide support and protect the healing tissues. It is important to follow the post-operative instructions provided by the surgeon and attend follow-up appointments to ensure proper healing and monitor the progress of the results.

Consultation with a qualified plastic surgeon is essential to determine if open technique nose tip plasty is the right approach for your individual case. The surgeon will evaluate your nasal anatomy, discuss your desired outcomes, and recommend the most appropriate surgical technique to achieve your aesthetic goals.

How is Nose Tip Plasty Operation Performed?

Nasal tip aesthetic surgery can be performed under local anesthesia, sedation anesthesia or general anesthesia. Nasal tip aesthetic surgery can be performed with two different approaches, open technique and closed technique. Since I generally prefer to fill the cartilage membrane, soft tissue and cartilages from the patient's own nasal tissue into the nasal tip of the patient; I prefer open technique nasal tip aesthetics more. Although both techniques have advantages and disadvantages compared to each other; The incision scar of the 5-cornered incision used in open technique surgery heals invisibly after approximately 3 weeks. Nasal tip surgeries can be performed together with deviation surgery for nasal congestion and concha surgery.

Since the cartilage used during nasal tip lift is taken from the nasal septum, it is actually beneficial to correct the cartilage curvature in the nose at the same time in the treatment of nasal congestion. If cartilage curvature or nasal concha reduction procedures are performed together with nasal tip aesthetic surgery, it is appropriate to place silicone nasal pads in the nose at least and to be removed after 5-7 days. 

The patient seen in the photo below, nasal tip aesthetics, cartilage curvature surgery and nasal concha surgery were performed together, the operation was completed in a total of 45 minutes, and after the procedure, silicone nasal pads were placed in both nasal cavities. The aesthetic suture material used to sew the nasal tip is seen in white. In some patients, the angle points of the alar cartilages can be changed, the leg lengths can be changed, and various suture techniques and overlapping techniques have been defined for this.

Important Role of The "Columellar Strut Graft" on Nasal Tip Elevation With Nasal Support

Nose Tip Lifting

Columellar strut graft is a cartilage graft which place between the  medial cruras of alar cartilages. This graft can used for nasal tip support, treatment of nasal tip dropping, nasal tip elevation. Strut graft helps to control final nasal tip position.

I would prefer to use this graft almost in all my aesthetic surgery of the nose tip. 

It providing a natural nasal support at the tip point. Some sources emphasized that, this graft can not increase nasal tip projection but it can very strongly support the nasal tip.

The bottom of this graft should be contacted with the maxillary crest and medial cruras of alar cartilages must be stiched symmetrically.

You can read scientific article entitled "The role of the columellar strut in rhinoplasty: indications and rationale." by Dr. Rohrich and friends >> http://www.ncbi.nlm.nih.gov/pubmed/22186526

Nose Tip Plasty Animation

In the above animation video, simple nose tip plasty operation is shown.

Nasal Tip Elevation With "Suspension Stitches"

There are some suture tip plasty technique exist. Some of them can be used only increse the nasal tip projection without any shape change at nasal tip.

Some of these suture tip projeciton techniques:

- Percutaneous suspension suture technique
- Securing nasal tip rotation through suspension suture technique
- Alar dome suspension stitches and caudal septal kartilage resection with suspension sutures

Additional modified suture tip increasing techniques can be defined but I don't like these techniques because of:

- I don't believe that these techniques can permanently increase the nasal tip
- Some permanent sutures can lead to tissue reactions
- Long-term results are unpredictable

"Nasal Tip Plasty": The Most Crucial Part of Rhinoplasty Procedure





Nasal tip plasty some time performed as a part of rhinoplasty operation. Tip plasty, is the most important part of nose esthetic operations. Nasal tip apperance is most important visible part of the nose.




In the photo above, nose tip is seen before and after 10 days. There are several self-absorbing sutures in the columella.









I generally prefer to open technique tip plasty.

Suture Tip Plasty





Sutures can be used to change all cartilage structures on the nasal tip. "interdomal suture", "transdomal suture", "lateral crural steal suture" and "transdomal mattress-type suture" are defined suture types for suture tip plasty.

You can very detailed article entitled "Suture tip plasty" by Dr. Vuyk HD >> http://www.ncbi.nlm.nih.gov/pubmed/7784792 / http://vuyk.nl/publicaties/nr/027.pdf

Droopy Nasal Tip - Open Technique Nose Tip Lifting

​Droopy nose tip may occur after post-traumatic, post-nasal surgery or genetic causes may cause to sagging at the tip. Not only is it an aesthetic problem, it can also result in increased resistance to nasal airway for it, eventually causing nasal congestion. As the nasolabial angle between the tip of the nose and the upper lips should be roughly 90 degrees in men and roughly 100 degrees in women, the airways in the nose are narrowed.

We performed open technique nose tip plasty operation to our patient who had previously performed nose surgery (you can see before and after the nose tip surgery on above videos and below photos). Nasal septum cartilage used for nose tip lifting.

Droopy nose tip - Nasal tip plasty in men istanbul

Before and 2 Months After Nose Tip Plasty in Men

In the photographs and video below, the nose shape of the patient, where the open technique nasal tip aesthetic surgery, can be seen before and 2 months after the operation.

Open Technique Nose Tip Plasty For Treatment Of  Dropped Tip After Septoplasty Operation

In the following photographs, the photographs of the patient who had a closed technique septoplasty operation about 3 years ago in another clinic and nasal septum perforation and nose tip droop after the nose operation are seen before and after open technique nasal tip aesthetic operation (+ septum perforation closure operation). Although septoplasty operation is a simple and minimally invasive surgical procedure; when traumatic and wrong technique is performed, when exaggerated nasal septum cartilage resection is performed, complications such as nasal tip sagging or nose tip droop, nasal sepum perforation may occur.

Nose Tip Plasty Operation For Thick Skinned Nose (Bulbous Nose)

In the thick skinned nose, nose tip plasty operation techniques and postoperative recovery characteristics vary. In patients with oily skin characteristics such as bulbous and cannulas, different procedures can be performed such as removal of the subcutaneous tissue by two-level dissection during the  nose tip plasty operation, additional cartilage graft applications, closure of the dead spaces and protection of the cartilage support as much as possible. After the  nose tip plasty procedure, tissue edema can be continued for up to 2 years. A similar article on the topic >> The Difficulties of "Nasal Thinning" in Patients with Thick Nose Tip Skin!

Nose Tip Plasty Technique and Patient Selection 

Two basic techniques in nasal tip aesthetics can be divided into "open technique nasal tip aesthetics" and "closed technique nasal tip aesthetics". Nasal tip aesthetics and nasal tip lifting procedures alone are not suitable for excessively arched noses. Simple interventions on the tip of the nose are not always sufficient to solve or mask the problems in the nasal bone. In patient selection, attention should be paid to the nose tip support, the width of the nose tip, skin features, whether the nose is arched and whether the nose thickness is compatible with the face. Technique and patient selection in nasal tip aesthetics and nasal tip lift procedures should be determined after the physician's examination.

Some Questions About Thick Skinned Nose Tip Plasty Operation

What does a thick skinned nose mean?

Perhaps to describe the expression "thick skinned nose" or "thick skinned nose tip" that you frequently come across on the internet, "it is expressed to have a thicker skin structure than normal". Generally, when you look closely, comedones and oily skin features can be noticed, and when you try to lift the skin with two fingers, you can see that it is thicker than the skin on your normal hand and has more subcutaneous tissue.

How to recognize thick skin?

There are 2 ways to understand whether the nasal skin is thick: 1. When you look closely, you can see that the comedones pores are excessive 2.When you vent the skin from the back of the nose with two fingers and bend the skin, especially in thick-skinned noses, the skin directly gets thicker as you descend towards the tip of the nose and even the nasal tip You may notice the thick skin starting level between.

What are the advantages of thick skin in nasal tip and nasal aesthetic surgeries?

The thick skin structure camouflages the healing tissues and asymmetrical areas that can occur under the skin much more than thin-skinned noses.

What are the disadvantages of thick skin in nasal tip aesthetics and nasal aesthetic surgeries?

In patients with thick skin, nasal tip aesthetics and rhinoplasty may cause many additional problems during and after surgery:

Two-level nasal skin dissection for thinning of the nasal skin during the operation and thinning of the skin by removing the subcutaneous tissue if possible (easy to write here, but during surgery, both subcutaneous tissue dissection is difficult and even if this tissue is removed, it can be reproduced due to the patient's healing properties)

Exaggerated tissue edema in the subcutaneous tissue and round or ball nasal tip may occur after surgery. Additional techniques and nasal narrowing procedures may be required to narrow the nasal tip during thick-skinned nasal tip aesthetics.

During the thick-skinned nasal tip aesthetic surgery, the cartilages carrying the skin may be reduced too much, the nose wings collapse or the nose tip is directed downward after the surgery.

Although patients expect to narrow the tip of the nose or to reduce the tip of the nose; The reduction of cartilage tissue may be a problem. During the thick skinned nasal tip, additional support cartilage grafts and additional cartilage grafts may need to be placed at the tip of the nose. Perhaps a curved or slightly reflected "tip of the nose" may be imaginary. The amount of edema that can occur after the thick-skinned nasal tip aesthetics, which is frequently performed in African-origin patients, may be more than the thin-skinned noses.

The time required for the complete elimination of edema may be 2 years or longer after thick-skinned nasal tip and nasal aesthetic surgeries.

Some Questions About Thin Skinned Nose Tip Plasty Operation

What does a thin skinned nose mean?

Expressing that the skin of the nose is thinner than normal, the thin skin and subcutaneous tissue and the underlying bone-cartilage folds or protrusions can be easily seen.

How to understand the thin skinned nose?

When you lift the skin of the nose with two fingers, the skin is thin and when you look closely, you can sometimes see subcutaneous veins or bone protrusions. In this case, it can be interpreted as "nasal skin is thinner than normal". "Is the nose skin thick or thin?" It is important for many physicians to plan surgical techniques before nasal tip aesthetics and rhinoplasty operations.

What are the advantages of thin skin in nasal tip aesthetics and nasal aesthetic surgeries?

After thin-skinned nasal tip aesthetic surgeries, post-operative edema is usually less and the recovery time of the edema is shorter. Since the thin skin will cover the cartilages thinly, the cartilage can reflect the shape and the delicate - gentle nose tip desired by the hstalar can emerge.

What are the disadvantages of thin skin in nasal tip aesthetics and nasal aesthetic surgeries?

In thin-skinned noses, when edema or healing tissue appears under the skin after surgery, it is more likely to be seen from the outside. Even a small amount of sewing reaction can cause reflection and prominence in flash photography.

Regarding the thick skinned nose ...

I would like to answer a few frequently asked questions from you about the thick-skinned nasal tip aesthetics and it should be said from the beginning that "skin shaping" or "skin thinning" is not easy and it seriously affects the healing properties after the procedure.

Laser nose skin thinning

Skin thinning with the help of laser may be appropriate in non-operated skin areas, and laser thinning or "peeling" in the nasal tip area after the aesthetic operation may have a negative effect on healing. There are laser applications that can be tried after the healing is complete. It is not a preferred procedure to vaporize the subcutaneous tissue using laser during surgery.

How does thick skin get thinner?

Applications that can be done during and after surgery to thin the skin in patients with thick skin: Two-level skin dissection (bilevel dissection) and excision of subcutaneous tissue, post-operative edema and bruise removal, use of herbal gel, cream and oral pills, nasal massage with natural oils after surgery Using creams containing vitamin A derivative (retinol) on it, cortisone injection (subcutaneous tissue infection, skin color changes and even blindness can cause!)

Fleshy nose reduction

In order to shrink the fleshy nasal tip or bullous nasal tip, the subcutaneous tissue above must be removed during surgery, additional cartilage graft applications, and the nasal wing reduction procedures are required. Expecting the result as a very thin and angular nasal tip may cause disappointment in very thick skin nasal tip aesthetic surgeries.

Will there be many scars on the tip of the nose after open technique nasal tip aesthetics?

Open technique nasal tip aesthetics is a surgery that I love very much. The fact that I can peel off the cartilage membranes and fill it back into the tip of the nose, which is more difficult to do with the closed technique, that I can structure the cartilage support to the tip of the nose much more easily, the perfect anatomical command and of course the habit are some of the reasons why I prefer this method. After the nose tip aesthetics, I recommend antibiotic cream / pomades to the suture area for the first few weeks, and then drugs such as Contractubex gel to reduce the scar due to tissue scar. Generally, after 2 months, the scar in this area heals too much to be seen with the eye. In fact, the incision area is made in the lower part of the tip of the nose, which is the hardest to see in the nose. Below you can see the photos of the nose tip taken in the 1st month after the procedure.

The 5-cornered skin incision scar used in open technique nasal tip aesthetic surgeries is generally improved by becoming aesthetically invisible without using a special tracer. In patients with excessive scar or exaggerated wound healing after a previous skin incision or injury, special care may be required for the incision scar. Generally, I recommend my patients to apply antibiotic cream for the first 3 weeks to be applied to the incision area. After the stitches are removed or fallen, the stitches are usually closed within 3 days, and auxiliary products for scar removal (Cotractubex gel, Scarex Gel ...) can be used. There are 3 different types of silicone in Scarex gel. It can be applied as a thin layer 2-3 times a day on an open wound or incision. These products are sold in pharmacies. I recommend using these types of products for a period of approximately 2 months. The incision applied in open technique nasal tip aesthetic surgeries is in the lower part of the nose, in an area with little sun exposure and less attention. Patients who have had excessive scars on their skin due to any skin incision or injury should warn their doctor before surgery.

Can smoking be used after nose tip aesthetics?

Using sigra after nasal tip aesthetic surgery may adversely affect tissue healing in different ways. Soot and particles falling into the operated area, the effect of nicotine on blood supply, hot smoke may increase tissue edema and indirectly increase the risk of infection. For this reason, it is ideal not to smoke for a few weeks after nasal tip surgery and not to be exposed to digara smoke.

Can glasses be worn after nose tip aesthetics?

In nasal tip aesthetics, as the name suggests, only "nose tip" procedures are performed. Since the nasal bone is not touched, there is no problem in wearing glasses that fit on the bone. I recommend that our patients wear contact lenses for 2-3 weeks postoperatively, and then wear their glasses again so that they can be comfortable. It is appropriate not to wear glasses that sit on the tip of the nose for about 2 months.

Can I take a shower after nasal tip aesthetics?

After nasal tip aesthetics, I recommend my patients not to ingest city water with detergent, soap or shampoo inside the nose for 3 weeks. I recommend using sterile pressurized sea or ocean water sprays for nasal cleaning. I have not seen a patient with infection so far, but it is not appropriate for non-sterile water contents to contact the incision lines made on the tip of the nose in the early postoperative period. Free shower can be taken in the bathroom after 3 weeks. In the bathroom, I recommend applying oily, antibiotic ointment to the incision area at the tip of the nose.

Is it possible to enter the pool after nose tip aesthetic surgery?

I tell my patients with nasal tip aesthetics that they can swim after the 3rd week without excessive sunbathing. Other than that, I'm a little scared of the pool water! The reason for this is that "chlorination", a very inexpensive pool cleaning system, is often used in our hotels. It is safer to enter the pools cleaned with the chlorine wound healing system.

Are sun rays harmful in the early period after nasal tip aesthetic surgery?

In patients with nasal tip aesthetics, varying amounts of nasal tip edema and tissue retention occur depending on skin characteristics and the amount of procedures performed. Intense exposure to sunlight in the first two weeks after nasal tip aesthetics may cause an increase in tissue edema and nasal bleeding. In heat, enlargement occurs in the vessels in order to lose heat in our body. The effect of this may appear as increased edema and bleeding in the surgical area.

Is nose tip aesthetic surgery performed with laser?

In some patients, there may be a misconception that all laser procedures are better and less traumatic. Although many procedures such as tissue thinning, tissue evaporation, treatment of the checkered appearance on the nose tip skin, tissue cutting are performed with laser; Not all nose tip aesthetics can be done with laser. In case of burn damage to the nasal tip skin, it may result in the development of a very noticeable healing tissue. It is likewise wrong to say unrealistic techniques, which are perhaps the subject of campaigns in the form of "nose aesthetics with laser", that are far from being scientific, in the tip of the nose.













Risks of Nose Tip Plasty Operation

Nasal tip aesthetics is also an operation and includes various risks in itself. The following possible risks and complications can be seen after nasal tip aesthetics:

- Infection at the tip of the nose

- Droopy nose tip

- Nasal septum perforation

- Deformity at the tip of the nose

- Collapse in the wings of the nose

- Nose bleeding

As with any surgery, expected and unexpected risks may arise. For example, the risk of circulatory disorders after nasal tip aesthetic operations is very rare, but of course there is a risk of occurrence. Minimal surgical trauma is necessary to reduce all risks. Especially after revision rhinoplasty operations, infection, circulatory disorder and healing problems are more likely to be seen. These surgeries should be planned individually. For example, in patients with thick skin structure, collapse and nasal tip sagging may occur in case of thinning of the cartilage as in classical nasal tip aesthetic operations. The experience and knowledge of the surgeon can reduce these complications. After repetitive nasal tip aesthetic operations, narrowing and stenosis may occur in the incision areas in the nose (idiopathic nostril stenosis).

In nasal tip aesthetic surgeries, non-absorbable suture materials may cause a reaction!

During nasal tip aesthetic surgeries, tissue reaction and skin discoloration may occur due to non-absorbable suture materials. In the photo above, the nose of the patient who had nasal tip aesthetics years ago (and after the nose tip surgery was performed several times in different clinics) and after the surgery, discoloration of the nasal tip skin, pitting on the nasal tip, and then the suture material emerged from the nasal tip skin. end photos are seen. It is seen that the incision area at the tip of the nose, which should normally be indistinct, is quite prominent in the patient who has had repeated nose tip surgeries to remove the suture materials. The nasal tip area attracts attention and has a very important place in the overall facial appearance. In the operations performed on this area, the use of non-absorbable industrial products should be reduced as much as possible.

Is nasal tip aesthetics an easy operation?

Nasal tip aesthetics is easier than rhinoplasty surgery and more difficult than deviation surgery for nasal septum deviation alone. In fact, although difficulty or ease is a relative concept; These procedures, which can be performed without tampons, bandages, splints and bruises, are not as difficult as before.

About weird nose shaper (?) apparatus!

You can watch the video of one of the similar products sold on the internet as a nose shaper (you can watch it in a larger size on youtube). It is described as easy and simple, and it is cheaper than $ 2 abroad ... It is very difficult for those who wear these devices, which are claimed to narrow the nasal tip by squeezing the valve area at the tip of the nose, where the airway is narrowest, to breathe through the nose while the product is in their nose. By doing the opposite of the effect of nasal bands, it is aimed to narrow or shrink the tip of the nose. While breathing through the nose, especially during rapid breathing, the hardness of the cartilage and soft tissues in the valve area is very important, and prolonged pressure on these areas may cause permanent decrease in nasal breathing. These products, which are very difficult to have a permanent effect, also have the risk of causing nasal congestion.

Nasal Tip Lifting

Nose tip lifting (or nose lift aesthetics), without changing the shape of the nose tip, only; These are the procedures in which the angle of the nose tip with the upper lip is directed upwards. The nasal tip lift is especially suitable for patients with a low nasal tip, loose nose and weakness in the nasal tip support, thin nasal tip flesh and no excessive nasal arches. Nasal tip lifting operations, which are also made as a part of nasal tip aesthetics, can be performed with many different techniques. It is possible to summarize these techniques as follows:

- Nasal tip lifting with thread (nose suspension, nasal flux or nose tip hanger) method: The nose tip is lifted upwards with permanent suture materials, You can find more information about this below (since I do not believe that a single suture can hold the tip of the nose permanently and I do not prefer it because there are patients with permanent discoloration of the nasal skin and protrusion of the suture material under the skin due to the fact that this stitch is not accepted by the body). Nose tip lifting with thread consists of hanging the tip of the nose upwards with permanent suture materials. There are risks such as not being permanent, sewing materials becoming visible from the skin over time, and stitch reactions.

- Filling and botox nose tip lift: Providing a vertical appearance by filling the tip of the nose with temporary or permanent filling materials, or obtaining a straightening of the nose tip in the form of temporary paralysis of the muscles that pull the nose tip down with botox.

- Nasal tip removal by external sturt graft method: In this method, where you can find more detailed information below, it is the method of permanent and natural nasal tip removal with cartilage graft obtained from the nasal septum. This graft is placed by opening a tunnel at the tip of the nose.

- Nasal tip lift in the form of nasal tip surgery: It is the process of permanently straightening the tip of the nose in the form of classical open technique or closed technique nasal tip aesthetic surgery.

Nose Lift Reduces Nasal Airway Resistance!

When the tip of the nose is raised forward and upward, the angle of the "nasal valve area", which is the narrowest area in the nasal airway, changes and the airway diameter increases. For this reason, nasal congestion is more easily seen in patients whose nasal tip is low spontaneously or due to traumatic reasons due to poor nasal tip support. Small increases in the angle of the nasal valve area provide serious relief in the airway (detailed links on the subject >> Nasal Valve: The Narrowest Airway Area in the Nose / Poiseuille's law). Thanks to this angle change at the tip of the nose, simultaneous open technical cartilage curvature and nasal tip lift operation in patients with low nasal tip and cartilage curvature, and functional positive results (relief in breathing, increase in smell, increase in sleep quality, increase in sports capacity. ..) as well as aesthetically beautiful appearance can be achieved. In temporary nasal filling or medical aesthetic applications, functional positive results cannot be expected as the nose tip angle does not change in real terms; When excessive filling is applied to the tip of the nose, the tip of the nose may turn downward over time and may have a negative effect on the valve area.

Male nose tip aesthetics

Although male nasal tip aesthetics is not much different from female nasal tip aesthetics surgery, anatomically, the nasal tip of female patients is raised approximately 10 degrees closer to the tip of male patients, the nasal tip skin is generally thicker in male patients, the tip of the nose is generally There are some basic differences such as thicker. Nasal tip aesthetic operations are suitable for patients who need to change the shape of the nasal tip in addition to the nasal tip lift (for example, in a patient with a wide and low nasal tip, lifting the nasal tip alone may cause the nasal tip to appear more distinctly wider. It is ideal to plan classical nasal tip aesthetic surgery, which includes nasal tip lifting + nasal tip narrowing procedures). Male nose tip aesthetics price may vary depending on the hospital, the procedures performed together, and the materials used. You can find photos of male nasal tip operation before and after surgery above.

Nasal tip reducing

Nasal tip narrowing procedures are generally a part of standard nasal tip aesthetic surgeries. However, there are also techniques of "alar base resection" that reduce the airway cross-sectional area of ​​the nostril, which I do not like. Nasal tip tightening is not always an easy and simple application. In patients with thick nasal skin, there may be a very long nasal edema after the procedure; It is also difficult to achieve sufficient thinning at the tip of the nose. Additional procedures for thinning the nasal skin may also be required. In patients with thin nasal skin, the effect of the surgery can be noticed very early after the procedure, and the nasal tip can be narrowed with simple techniques during the operation. When you click on the photo on the side, you can see the animation in large size.

It is not always easy to reduce the nasal tip volume as seen in the picture. Especially, in patients with thick nasal tip skin, the amount of postoperative edema may be higher

and the result may require a longer period of time to be evident. Likewise, it is much more difficult to obtain a thin nasal tip in patients with thick nasal tip skin. Devices sold in the market under the headings of "nose reduction apparatus", "nose reduction device" or "non-surgical nose reduction apparatus" may give the impression of temporary narrowing or thinning, especially in patients with such thick nasal tip skin; It is a mistake to expect volume reduction in tissues such as skin, subcutaneous tissue, cartilage without any surgical intervention. Generally, with an open technique approach, I try to achieve volume loss at the tip of the nose by performing symmetrical reduction procedures for the cartilage and soft tissues that form the tip of the nose. These processes and technical selection should be planned individually.

Risks of excessive nose tip reduction!

Patients with a wide nasal tip can investigate the procedures of narrowing the nostrils or reducing the tip of the nose, and with a misconception, they can express an idea about obtaining the narrowest nasal tip possible. The more the cartilages forming the nasal wing at the tip of the nose are narrowed and the smaller the tip of the nose is made, the greater the nasal airway resistance (even at a much different rate) increases. In other words, the wide and rigid nasal tip structure in Africa is ideal for air ingress with minimal resistance while breathing and the nasal wing does not collapse and block the airway. Many factors such as the patient's eye width, lip width, cheekbones, whether the face is wide or thin and long should be evaluated when planning the procedures for narrowing the nostrils. The photo above shows a slightly narrower than normal nasal tip and small nostrils in a woman with large eyes and wide lips. As in patients with nose tip drop; In patients with a narrow nasal tip, the nasal airway cross-sectional area is less than normal and air can hardly enter; it may cause the patient to have an unnatural nose appearance when viewed from the front. There are many nose tip reduction procedures. Generally, I prefer the nasal tip lift + narrowing of only the upper part of the nasal tip, where the nose tip is narrowed by increasing the patient's nasal breathing.

Nasal wing aesthetics should be planned individually and it should be aimed to protect and even better the nasal functions of the patient. Unnecessary excessive intervention in the anatomy of the nose should be avoided in order to prevent artificial nose shapes such as clip nose, squeezing nose, plastic nose. For different patients whose nasal tip becomes smaller than normal, much more difficult procedures such as tissue transfer from the auricle cartilage or adding additional cartilage to the tip of the nose may be required.

Cost of Nose Tip Plasty Operation in Istanbul

The price of nose tip plasty in affordable hospitals is approximately US $ 2000 - 2500 (one day hospital stay, all materials, blood tests and doctor fees). In luxury hospitals this figure can reach up to approximately 3000 - 3500 US Dollars. When turbinate reduction with radiofrequency and septoplasty are performed during the procedure, the price can be increased. In addition, it is possible to increase the price in operations such as ethnic nose tip plasty which require different applications such as alar base resection.

Cost of Revision Nose Tip Plasty Operation in Istanbul

Revision Nose Tip Plasty in Men Istanbul Video

The cost of revision nose tip plasty in affordable hospitals is approximately US $ 2250 - 2750 (one day hospital stay, all materials, blood tests and doctor fees). In luxury hospitals this figure can reach up to 3500 US Dollars. When turbinate reduction with radiofrequency and septoplasty are performed during the procedure, the price can be increased. The price may increase in patients who do not have sufficient cartilage tissue and need additional graft procedures.

Non-Surgical Tip Plasty Technique: Nasal Filler Materials

Injectable filler materials can use to augment and reshape the nose. Especially they used for nasal dorsum augmentation. Application of nose fillers made with dermal fillers, which contain cross-linked hyaluronic acid, is a widespread and practical procedure applied worldwide. There is a processing time of 5-10 min and the risk of allergic reaction or tissue reaction is lower than other fillers.



  

You can find detailed information about the non surgical nose job with filler at this links  >>

https://www.ent-istanbul.com/2019/06/5-minutes-nose-job-with-filler-in-istanbul.html

http://www.healthzoneturkey.xyz/2018/01/non-surgical-nose-job-cost-in-istanbul.html

Natural Filler Materials For Nasal Tip Plasty: Cartilage Membranes

In rhinoplasty operation, all cartilages of nose can be reveal. Mebranes of cartilages (perichondrium) can be dissected and removed to use as filler material for nasal tip.

This method give soft contour changes on nasal tip. Some surgeons prefer the cartilage tip grafts (such as cap graft) to fill nasal tip. This grafts can be visible especially in patients with thin skin in long time. Cartilage membranes can be use for covering of these grafts or use as only filler material for nasal tip.

Related Videos About Nose Tip Plasty and Nose Tip Lifting

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20 minutes completed nose tip plasty operation video (Turkish Video)

Rhinoplasty in Women Video:

In the video above, there are before and after images of open technique rhinoplasty performed on a female patient with an arched nose structure. Since the patient wanted natural nose features and did not request a plastic surgery that was not easily understood from the outside, an effort was made to obtain as natural a result as possible.

Nose Tip Plasty (Before and After) Video:



In the video above, there are before and after images of a patient who applied because his nose tip was drooping and his nose turned downwards when smiling. When it was found in the hospital area, it was determined that the cartilage structure was very soft and caused sagging when smiling downwards. The patient was planned for open technique nose tip aesthetic surgery. Cartilages obtained from the nasal septum during the surgery were used to reconstruct the nasal tip cartilage support. When the patient's pre- and post-operative images are compared, it can be easily noticed that the tip of the nose changes upwards, as I learned from the review here.

Nasal hump removal video:

Nose tip plasty in women video:

Rhinoplasty without breaking bone video:

Nose tip drooping causes and treatment video:

Preparing of cartilage and blood mixture while nose job or nose ip plasty video:

"How can nose tip drooping appear after septoplasty operation ?" video:

Difficulties of Revision Nose Tip Plasty Operations

What is revision nose tip plasty?

A revision nose tip plasty is a nose tip surgery for aesthetic or cosmetic problems in a nose tip section in patients who have previously undergone rhinoplasty or nose tip surgery. Although revision nose tip plasty is a smaller operation than revision rhinoplasty operation; it is a more complicated surgical procedure than simple nasal tip surgery because it involves shaping the nose tip, which is the most important region of the nose and anatomically changed.

The difficulties of revision nasal tip aesthetic surgery



Above, it has been seen that there is an exaggerated projection at the nose end of the rhinoplasty operation performed abroad. Postoperatively, the patient is seen to be more natural and less raised due to reduced nasal tip projection. When the nose skin is dissected during revision nose tip operations, the shape of the nasal cartilages, the tissues of recovery, the state of the cartilage grafts are evaluated. In revision nose operations, the removal of only the skin is quite difficult compared to normal nose surgeries. When the unique and symmetrical structure of the nasal cartilages becomes asymmetrical due to various causes (nasal trauma, surgical trauma, healing properties ...), it is quite difficult to make the cartilage symmetrical during revision nose tip aesthetics surgery. You may have met in the photos of patients published on the internet, especially Iran. Extremely curved and pointed noses, nose tip as if squeezed, and nose aesthetics that can be understood even when viewed from far away. Above is the nose tip of a patient who was operated in Iran.




Breathe Implant àWengen removal - Revision nose job surgery

Breathe Implant àWengen removal - Revision nose job surgery

Above, the patient who came from abroad and complained about the width of the supratip section on the tip of the nose with the tip of the nose, the titanium aWengen implant which was placed in the previous operations was removed and the cartilage graft was placed at the tip of the nose to provide a steeper and narrower view of the tip of the nose (Breathe Implant àWengen removal)



Breathe Implant àWengen removal - Revision nose job surgery

Breathe Implant àWengen removal - Revision nose job surgery

In this web site, I published a few patients with skin infection areas that were caused by permanent suture materials used during nasal surgery. As a result of nose aesthetic surgery, surgical technique determines the patient's healing characteristics and patient care.

In fact, revision nose surgery surgery and revision nose tip operations, how to prepare a surprise box as you open it, you see everything when you open the box in addition to the difficult to open the box ...


Alar Collapse

Sometimes revision nasal tip operations are performed due to the narrowing of the cartilage at the tip of the nose, narrowing and narrowing of the nasal valve region which is the narrowest airway region of the nose.

Healing after revision nasal tip plasty operation

Revision nasal tip surgery healing time may be longer than the recovery time of normal primary nasal tip surgery. Although the healing period varies according to the person and the procedures; After repeated surgical traumas to the skin of the nasal tip, the nasal tip may be damaged in the veins and lymphatic vessels of the nasal tip, and the swelling and recovery time after revision nasal tip surgery depending on the previous healing tissue. Although revision nose tip surgery is sometimes performed, very limited procedures may cause swelling at the nose tip. It is the most accurate information that the physician who examined you about it.

Before and after photos for nose tip plasty

Before and after photos for nose tip plasty in İstanbul, nose tip lifting in istanbul, nasal hump reduction in istanbul >>























































































































































































































































Postoperative Patient Care After Nasal Tip Plasty

If nasal tip plasty operation performed with rhinoplasty operation, "instructions after the rhinoplasty operation" carefully should be applied.

It is normal to see for the following the nasal tip-plasty:

- Light to moderate bleeding from nose
- Swelling on nasal tip areas. The swelling on nasal tip may become worse 2-3 days after the operation, and it will start to decrease after the 4 days. Standing up (walking, sitting, etc) and head elevation at bedtime can help to alleviate the swelling.

Needs to be done after surgery:

- Ocean water sprays, antibiotics, pain medications and ointments containing antibiotics are generally recommended for use.
- If splint and tapes used, they will be removed by doctor generally 7 days after the operation.
- Patients can eat normal diet after the surgery. However, alcohol do not consumed for 1 month after surgery.
- Strenuous exercises, lifting heavy objects and bending head down can cause increase blood pressure on face and should be harmful for at least 1 week.
- Surgical area must stay dry for at least 1 week.

Nasal tip aesthetics recovery process

Although there is not much bruising in the eyes after nose tip aesthetic surgery; A small amount of spreading tissue edema occurs on the tip of the nose and cheeks. Edema, which usually starts on the 2nd day after nasal tip aesthetics and increases for 3 days, decreases in a few weeks and becomes vague. Using Arnica gel, which reduces nasal tip edema, may affect this healing process. Most of the patients may turn to temporary nasal tip filling or botox applications, since nasal tip deficiency and tissue edema occur in nasal tip aesthetics. Unlike these applications, which are made with industrial products and are generally temporary; In nasal tip aesthetics, the patient's own cartilage and soft tissues are used, it is permanent, there are no risks associated with filling materials. During the tip of the nose, as the tip of the nose turns forward-upward, the angle in the "nasal valve area", which is the narrowest airway area of ​​the nose under the nose wings, increases and at the same time, a decrease in the complaint of nasal congestion is expected (you also You can notice the relief of nasal breathing by lifting it upwards by the amount). Narrowing of the nasal wings, especially for aesthetic purposes, may cause nasal congestion with the opposite effect. The higher the amount of the procedure, the longer the recovery period. Most of our patients take a maximum of 7-10 days of rest for the swelling at the tip of the nose. After nasal tip aesthetic surgery, it is possible to be discharged from the hospital for a day and to start working on a desk a few days later. Since there is no intervention to the nasal bone; While the nasal bandage applied after rhinoplasty surgery is generally smaller; external nasal splint is not used.

Things to do after nose tip aesthetics

Above is the nose photo taken just after the open technique female nasal tip aesthetic surgery. It is seen that there is no edema or bruise on the nose. Generally, edema occurs in the nasal tip area within a few days after nasal tip aesthetics

What to do after nose tip aesthetics can be summarized as follows:

After the surgery, the following medications should be used (if cartilage curvature surgery in the nose and nasal contour surgery have also been performed, these medications can be changed slightly):

Oral antibiotic tablets

Oral pain medications

Ocean water sprays from the nose

- Nasal moisturizing drops and sprays from the nose

- Antibiotic pomade on the incision area at the tip of the nose (antibiotic pomade applied to the nasal tip after a few weeks can be replaced with the trace-removing Contractubex gel)

- Anti-edema products (such as Arnica gel or cream) on the tip of the nose

In the early postoperative period, long-term laughter or laughter by opening the mouth fully may cause yawning at the tip of the nose or moving cartilage grafts, albeit rarely. I especially recommend my patients to be careful while laughing for the first 3 weeks.

It is appropriate not to do sports such as basketball, valeyball, football, tennis, table tennis, combat sports, and exercise with tools that may cause a blow to the nose even after the nose tip aesthetic surgery.

After nasal tip surgery (especially in the first 10 days), steam from boiling foods, water vapor and sauna steam can cause edema and bleeding.

It is appropriate to avoid drugs and foods that have blood thinners in the first 10 days before the operation and especially in the first 10 days after the operation.

After the operation, being asleep, with the upper part of the body 45 degrees above, reduces the risk of edema in the head region and nose bleeding. It is important not to sleep with milk during sleep.

For the rapid reduction of edema and acceleration of recovery, I recommend my patients to walk with a rhythm of approximately 45 minutes in cool air in the evening from the 1st day after surgery.

I wanted to add some information about Arnica Gel as it is often asked. Arnica Gel and Arnica cream are frequently used products that contain the sap of Anica Montana flower and other auxiliary products and are used as an aid to remove edema and bruises. Although Arnica Cream has the advantage that it does not come off sweat easily on the face, both can be used after surgery. When the sap of Arnica montana flower dries, it can leave a brown and dirty appearance in the application area and may rarely cause allergic reactions on the skin due to its herbal content. This brownish area can be easily cleaned with a cotton swab soaked in water. Arnica cream or gel should not be applied to open mucosa and incision areas. After nasal tip aesthetic surgeries, I recommend my patients to apply these products to the nasal tip and adjacent cheek areas 3-4 times a day. It usually takes a few weeks. I also recommend massage with Arnica cream after rhinoplasty surgery. It is inconvenient to apply these products on the incision and to leak into the eye or nose after nasal tip aesthetic surgery.

Sexual Intercourse After Nose Tip Plasty

The point that should be especially noted for sexual activity after the nose tip aesthetic operation is that sexual activities involving a limited amount of positions should be performed in the first few weeks after the operation. In the first 2 months after nasal tip aesthetics, the healing of the nasal cartilages is approximately 80% complete. A blow to the nose during this period may cause changes in the shape of the nose.

In Which Positions Is Sexual Intercourse Appropriate After Nose Aesthetics?

After nose tip plasty, it is appropriate to avoid all positions that may cause trauma in the nose, positions that may cause serious blood pressure increase in the head area, and the patient who underwent nasal tip aesthetics should bend down to the ground. Although this situation is controversial, it may be appropriate for the patient who underwent nasal tip aesthetic surgery for the first 3-4 weeks to lie on his back and elevate his head with the help of a pillow and have sexual intercourse in this way.

When Can Dental Procedures be Performed After Nose Tip Plasty Operation?

Our recommendations to our patients coming from abroad for both dental surgery and nasal tip aesthetic surgery can be presented as follows:

"If your dental treatment will take a long time, after the 2nd or 3rd week after the nose tip operation, dental swelling can be started by placing the mouth retractors symmetrically, without asymmetric lip pulling and lip stretching, on the condition that there is no trauma to the tip of the nose".

Does Laughing After Nose Aesthetics Harm the Nose?

Although this is a very controversial question, immediately after the operation, while smiling with your lips and mouth open to the side, tension and pain may be felt at the tip of the nose. I usually advise my patients to gently press the tip of the nose from the bottom upwards with the index finger of one hand while laughing. I think that holding the upper lip from both sides will not create enough support at the tip of the nose. Laughing and being happy is very beneficial for health, I don't want to say don't laugh, always smile and be happy.

Air Travel After Nose Tip Plasty

1 week after the nose tip operation, the silicone splints in the nose are usually removed and the inside of the nose is aspirated and cleaned. After it is seen that the intranasal airway is relieved, there is no harm in traveling by plane. In patients with a previous history of barotrauma in the ears, we may recommend spraying nasal decongestant sprays into the nose before the flight and before the aircraft descent announcement.

Nose Tip Lifting With "External Strut Graft"

Nose Tip Lifting With "External Strut Graft"

This is one of the my favorite nasal tip lifting method. This procedure is simple, easy method and it can be performed together with septoplasty or any nasal surgeries.

Columellar strut grafts are placed between the alar cartilages medial cruras normally takes as a part of the in rhinoplasty procedure.

Skin on the nose tip is dissected and elevated to reveal alar cartilages.

It can provide a natural and symmetrical increasing to projection of nasal tip with increasing the nasal support.

How External Strut Graft Is Placed?

External Strut Graft

External strut graft can be placed in under local anesthesia with office conditions. After thelocal anesthetic infiltration on the nasal septum, cartilage graft which about 25 mm x 4 mm in size  is taken. After a local anesthetic infiltration on columella approximately 3 mm a vertical skin incision is made on midpoint of columella. Tunnel opens upwards and downwards with the help of scissor. Cartilage graft is placed. Skin is sutured and the operation is terminated.

In the photo above shows preoperative and postoperative photographs.

How Does The External Strut Graft Change The Nasal Tip Appearance?

External Strut Graft

External strut graft is placed forwarder than columellar strut graft. It can fill the nasal tip and it can provide a natural, symmetrical, permanent rise in nasal tip.

As seen in the photo above, tip of the nose is lifted without excessive tissue dissection.
External strut graft is placed after the deviated septum surgery in patient who is seen in the photo above . Please note that there not any swelling after this process and no the dark circles under the eyes of patients.

Advantages of External Strut Graft Technique?

Nose Tip Lifting With "External Strut Graft"

Advantages of the external strut graft technique:

- This procedure can be performed under local anesthesia and it usually done in an office setting
- External strut graft can cause the increase in nasal tip projection permanently
- It is a minimally invasive, Simple and easy tipplasty technique
- It does not require bandages or splints
- Swelling of the face and eye ecchymosis never occured after the procedure
- It can be combined with other nasal surgeries
- There is not any synthetic materials used

 

Link group where you can find detailed information about nose tipplasty on this website >> https://www.ent-istanbul.com/search?q=nose+tip+plasty

           

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:

Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52

E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199

Fax: +90 212 542 74 47