Nose-Tip Rhinoplasty

I’ve performed plenty of rhinoplasty procedures over the years, and I think the shape of the nasal tip is one of the factors that can really “make or break” the aesthetics of your results. Some Seattle rhinoplasty patients don’t need tip surgery at all, but if you do (or you think you do), these two “tips” should help you avoid a few of the more common pitfalls:

1 – Look Elsewhere First

There are plenty of optical illusions involved in how large, long, or prominent the nose looks, and very often what seems to be a problem with the shape of the nose tip actually has more to do with some other factor entirely.


  • A nose that dips downward, particularly when a patient smiles, often can be improved just by trimming a tiny muscle between the nostrils.
  • In many cases taking care of a “hump” on the top of the nose will correct the illusion that the nose looked “hooked.”
  • A “wide” nose tip often can be corrected just by adding volume to the upper portion of the nose tip, instead of removing tissue.

2 – Rotate, Don”t Remove

In some cases a patient will need their nose tip reduced. However, tiny changes in the angle of the nose tip can correct “big” problems with the nose tip entirely, without substantially reducing the size of the tip.


  • By rotating a “downward-pointing” nasal tip up, I can often create a more attractive appearance without significant removal of tissue. Where it’s appropriate, this technique tends to create results that look more natural, as it doesn’t interfere with the skin or the shape of the nose in the same way that a reduction procedure would.

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