How you would go about performing surgery on my nose to make it very slightly smaller and to get rid of the bump?

Your questions answered by our surgeon, Lucian Ion, FRCS(Plast)

Asked on 30 April 2014

Question

I have a bulbous tip which I would like to be made smaller. The right side of my tip has a bump whereas the left does not. Hence when I take pictures it looks like my nose is shifting to the right.

I wanted to know how you would go about performing surgery on my nose to make it very slightly smaller and to get rid of the bump?

I would also like to know can this be done by having a closed procedure?

Answer

The characteristics of the asymmetry that you describe can be associated with just asymmetry of the tip cartilages, or in addition some deviation of the lower part of the septum.

The treatment is different for these two situations, but will involve some changes and possibly reduction in the right side of the tip of the nose. Depending on whether you also want to reduce more significantly the size of the nose, again the surgical plan has to adapt to it. Most of the time, I find that the open approach has more flexibility to deal with asymmetries, but I would have to see the exact parameters of the nose and detail with you that type of changing want to achieve, before I can advise whether a closed intervention could be equally suitable.

Mr Lucian Ion FRCS(Plast)
129 Harley Street
London
W1G 6BA