What does the intervention of a broad or globular nasal tip consist of?
Many patients come to the consultation seeking to correct or improve the roundness that they present in the nasal tip and that makes the nose appear wide and poorly defined. Usually the cases of globular nose are due to a birth defect or an ethnic characteristic, being more frequent in patients of ethnic groups with thick and darker skin, although they can be present in any person. Sometimes it may have a square or forked appearance.
These cases are generally characterized by thick skin where the nasal tip protrudes excessively from the face and causes an imbalance between the beginning of the septum and the nasal tip. With rhinoplasty seeks to find the balance with a tip thinner and harmonious.
There are several techniques available to the plastic surgeon to reduce a wide nasal tip, since the same problem can be solved with different approaches. You could reduce the cartilage, suture both cartilages to reduce the separation between them and thus achieve a thinner nasal tip, a combination of both, etc.
During the consultation, once the specific case has been evaluated, the surgeon will decide which of the rhinoplasty techniques will be the most effective to achieve the expected results.
If the rhinoplasty is carried out with an open technique, the plastic surgeon will have greater access to the cartilage and a broader vision, being able to work comfortably on the nasal tip more precisely. An incision is made at the base of the nose between the nostrils, called a columella. This will allow lifting the skin and the nasal musculature in its entirety to visualize the internal structures and to be able to carry out a direct remodeling, as well as the insertion of grafts if necessary. Later, the skin adapts to its new physiognomy. With this technique we will have a more pronounced inflammation and a longer postoperative period.
If instead a closed rhinoplasty technique is chosen, the plastic surgeon will intervene on the patient through the nostrils, without leaving visible scars. Being less invasive, the postoperative period is shorter, less painful, and the swelling is milder. Although it is possible to refine the tip of the nose and work the cartilage, as well as the nasal structure, it is more frequent to practice this intervention when the nose requires few modifications. The choice will depend on the complexity of each particular case and the professional assessment.
It may also be that, the modified nasal tip, symmetry and proportions of the nose and the face is affected and to maintain the balance necessary to retouch the base or back of the nose.