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    Refining the Nasal Tip 

    A bulbous or drooping nasal tip can be the product of genetics, aging or a nose job gone awry. African-Americans/Blacks and Asians are generally more likely to have flatter and wider tips, while Mediterraneans, Middle-Easterners and Indians are more likely to have pointed, drooping tips.  The size, shape and strength of the cartilages forming the nasal tip may be the culprits for the drooping tip, and plastic surgery correction may be quite straightforward.  Many times, the natural cartilage may be simply shaped and supported by sutures.  Occasionally, there is a need for the cosmetic plastic surgeon to use grafts or implants.

    Aside from ethnicity, the effects of aging on the nasal tip are not to be overlooked.  We tend to think that aging only changes our skin, with our more structural features staying as fixed in appearance as stars in the night sky. But it isn’t so! The nose, for example, continues to change with age. The skin becomes thicker and the tip of the nose begins to droop in response to the long-term affects of gravity and the age: the loss of bone volume and cartilage.

    Sometimes, a drooping tip can interfere with your ability to breathe freely. To test if this is the case for you, push the tip of your nose up with your finger and see if it’s easier to breathe. If it is, nasal tip refinement rhinoplasty surgery might benefit you both cosmetically and functionally.

    Fortunately, all that is needed is a little plastic surgery refinement of the nasal tip and possibly some cartilage grafting. This cosmetic surgery procedure is like “rhinoplasty light.” No bones are broken and the recovery is fast and nearly painless.

    Tip refinement rhinoplasty surgery (refining nasal tip) can be combined with other cosmetic plastic surgery procedures such as a facelift, neck lift, or blepharoplasty (eyelid lift).

    The Procedure

    Tip refinement rhinoplasty or nose job surgery can be performed in  Dr. Yagoda’s New York City office-based surgical facility or in a NYC hospital, under local anesthetic with IV sedation or under general anesthesia. This plastic surgery procedure takes between 45 minutes and two hours. The exact surgical technique is uniquely tailored by the plastic surgeon for each patient but most of the time, all incisions are made internally and there are no visible scars. Sometimes, an incision is made at the base of the nostrils and the incision is carefully hidden.


    You can return to work in about a week after your tip refinement plastic surgery and you’ll be able to use a stationary bike or treadmill by the second week. By the third week, you can return to full activities. Although you’ll see immediate improvement, your nose’s shape and your profile will continue to refine over the next 12 to 18 months.


    Like all surgery, tip refinement rhinoplasty has certain risks including infection, bleeding, and reaction to anesthesia. Other risks include structural damage to the nose. Dr. Yagoda will discuss these potential risks as well as the benefits of this plastic surgery procedure  in full during your consultation in her New York City office.

    To determine if you might benefit from tip refinement rhinoplasty or nose job surgery, call Dr. Yagoda today to schedule your personal comprehensive plastic surgery consultation in her New York, NY office.

    Read about Dr. Yagoda’s Integrative Post Operative Care Program

    Flying In

    Dr. Yagoda’s patients come to New York from all over the world for tip refinement rhinoplasty. From Qatar to Quebec, we can help you get here from abroad.

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