Nose Tip Aesthetics (Tipplasty) Surgery
What is Nasal Tip Surgery?
Nasal tip aesthetic surgery is one of the trends in nose surgeries. Before talking about tipplasty, we can say that the structure of a nose consists of roughly three main parts according to its external appearance:
- Bone structure – nasal bone,
- Cartilage structure – the main structure that shapes the nose tip,
- Soft tissues – the skin, subcutaneous tissues and muscles that cover these structures.
Nose tip surgery is an aesthetic surgery performed only on the cartilage structures, surrounding soft tissues and skin without touching the nasal bone structure. For thick skin, a little subcutaneous trim is applied and the nose tip is reshaped with various changes.
How Much Does Nasal Tip Surgery Cost?
The nasal tip surgery cost is more affordable than a complete rhinoplasty because the nose bone is not touched and its duration is shorter. The amount the patient could be charged for primary tipplasty in 2025 year starts from 1,500 euros in Istanbul. The price increases upwards to 3,500-4,000 euros for patients with ethnic characteristics or revision cases. In our own clinic, we give a price of 1,800-2,500 euros for primary cases depending on the procedure to be performed. Similarly, our prices change depending on whether the tipplasty surgery to be performed is ethnic or revision.
What changes can be achieved with nasal tip aesthetics?
With this surgery:
– The tip of the nose can be thinned,
– It can be narrowed,
– It can be raised/lowered, lifted, defined
– The columella correction,
– The nostrils and the alar base can be reduced, shaped, fixed
– The projection can be lowered/raised.
Which areas are touched in nasal tip surgery?
When we say the nasal cartilage structure, we mean the following structures extending down from the nasal bone:
– Upper lateral cartilages on both sides,
– Alar cartilages: lateral and medial crus, alar intermediate area and alar lateral cartilages (also known as alar corpus),
– And the septum cartilage on which they sit or are connected.
The skin, subcutaneous tissue, soft tissues and muscle structures covering these structures are the areas treated in nasal tip aesthetic operation.
What is the difference between Tipplasty and Classic Rhinoplasty?
Nose tip reshaping, unlike a complete rhinoplasty surgery, is performed without procedures such as rasping or osteotomy to the nasal bone.
For this reason, the surgery time is shorter and there is no swelling or bruising around the eyes or face afterwards.
However, despite this advantage, patient selection is extremely critical in this surgery.
Because the nasal bone cannot be intervened, the patient should not have on the nasal bones:
– A significant hump in the nasal bridge,
– Crookedness, widthness,
– Irregularity,
– Open roof, Saddle nose, etc. deformities.
Similarly,
– A serious septum deviation or
– Breathing problems.
In other words, patients who do not really have a problem that needs to be corrected in the bone structure and septum, and who have a straight, midline, regular nasal bone (including those with a very small amount of hump), should be evaluated by the doctor and their suitability for tip reshaping should be determined according to this analysis.
Tipplasty Approach in Patients with Thick Skin
In patients who will undergo nasal tip aesthetic operation, the shaping of the nasal tip to the desired dimensions ( that is, raising, narrowing or thinning it) is planned after a detailed consultation with the patient in a way that does not disrupt the harmony with the bone structure of the nose.
At this point, the patient’s skin thickness is a very important factor.
In patients with thick skin, the desired aesthetic results may not always be easily achieved.
However, additional methods for thick skin are:
– Some subcutaneous shaving and thinning,
– Placement of definition grafts (cap grafts)
Post-operative cortisone injections to the supratip region can yield quite satisfactory and nice results. Of course, this only applies to patients with thick skin and the patient must be informed about this before the surgery.
Even after the necessary surgical procedures have been performed, the patient must be informed that subcutaneous cortisone injections can support recovery in the post-operative period.
Who is Suitable for Tipplasty Surgery?
Just like classic rhinoplasty, it can be applied to patients of all ages; there is no specific age range.
It is generally an ideal choice for patients who:
Do not want to have surgery on their nasal bone;
Afraid of bruising and swelling that may occur after surgery;
Believe that the operation to be performed will meet their expectations.
In addition, nasal tip aesthetics can be a suitable solution for people who want to get results with less intervention and are not as invasive as rhinoplasty.
Tipplasty surgery is especially preferred in patients with the following nasal tip deformities:
– Wide,
– Drooping or drooping tip,
– Overly pointed,
– Split (bifid) tip,
– Disproportionate or asymmetrical nasal tip,
– Hanging columella (drooping downward),
– Irregularities, collapse at the nasal tip,
– Obvious depressions or indentations.
There are some important points to know in patients considering nasal tip correction:
1 There should be no septum deviation or breathing problems.
2 The patient’s expectations should be realistic and limited.
3 Surgical planning is done only for the shape of the nasal tip.
Especially in cases where the nasal tips appear disproportionately large with the face, such as a bulbous tip, a more natural and balanced appearance can be achieved by simply reducing the nasal tip.
Anesthesia and Surgical Technique Selection in Nasal Tip Surgery
Plastic nose tip operation can be performed under local or general anesthesia.
This decision should be made by the surgeon who will perform the surgery, taking into account various factors.
The main elements that need to be evaluated are:
– Duration of the planned surgical procedures,
– Psychological state of the patient,
– Pain threshold,
– Comfort of the surgeon’s surgery,
– General condition and preference of the patient.
In other words, the doctor and the patient should evaluate together according to how long the necessary surgical procedures will take and how comfortable the patient will feel during this period. Local anesthesia is suitable for smaller procedures, but general anesthesia is suitable for a large, extensive work. Which anesthesia is appropriate should be decided by talking to each other. Similarly, the patient and the doctor should decide mutually whether open or closed technique will be performed. Both: open and closed can be the techniques to be used. This should again be the preference of the doctor who will perform the surgery. In cases, where abnormalities, deformations are high, various grafting and more jobs will be performed, the open technique will probably provide more convenience for the surgeon. Of course, this surgery can also be performed using a closed technique. It depends entirely on the surgeon’s own experience and the decision of which method gives better results according to the techniques he has used before.
Duration and Technical Details of Tipplasty Surgery
The duration of the surgery varies depending on whether the case is major or minor.
Considering the scope of the procedures to be performed, the surgery usually takes between 1 and 2 hours.
However, depending on the situation encountered during the operation, especially in cases requiring the use of more grafts, this period may be longer.
In aesthetic nose tip correction surgery, the procedures are mostly concentrated on the lateral alar cartilages, namely:
Lateral intermedius and Crus laterale regions.
Therefore, one of the most important issues in surgery is:
- Cephalic resection of the alar cartilage (removal of the excess part),
- Reshaping the alar cartilage with techniques similar to “overlap”
- Dome sutures made with 5.0 PDS suture material.
Recovery Process After Tipplasty Surgery
Since this operation is not a complete rhinoplasty, the nasal bone is not intervened. Therefore, the recovery process is shorter and more comfortable.
Swelling and bruising usually do not occur. Thermal plaster is not used unless deemed necessary.
Generally:
– Bandage is applied with a sterile strip or a plaster called omni strip.
– If the caudal septum has not been treated, silicone nasal splint application is not required.
After surgery:
– The patient can use glasses.
– Patients can return to social life faster.
– No need to stay in the hospital overnight.
– Light sports activities can be started after approximately 3 weeks.
Bandages are usually removed within 7–14 days.
Complete recovery is completed between 6 months and 1 year, as in rhinoplasty.
Aesthetic Results Obtained with Tipplasty
In nose tip surgery, the aesthetic results desired by the patient can often be achieved with small touches to the nose.
The tip of the nose can be made upright, elegant, symmetrical or a natural appearance that suits the facial features can be achieved.
Tipplasty can also be applied to patients with ethnic characteristics.
In patients of African, Hispanic or Asian origin, additional support may be required in shaping the tip of the nose due to thick skin structure. In such cases: rib cartilage or ear cartilage can be prepared and used as a graft.
The same approach is also valid in revision cases.
In revision, the decision on which cartilage to use is made after the evaluation of the nose tip and according to the need.
Is Nose Tip Aesthetics (Tipplasty) Right for You?
Only nose tip correction is a minimally invasive and highly effective operation that is performed by reshaping only the cartilage and soft tissues at the tip of the nose without touching the nasal bones. It is an ideal option for patients who want to thin, lift, symmetrize or make the tip of the nose more compatible with their facial features.
The only nasal tip surgery cost is usually more affordable than full rhinoplasty. This offers both an aesthetic result and an economic advantage.
This procedure focuses only on the tip of the nose, provides quick recovery and sometimes does not even require general anesthesia. However, this procedure is not suitable for everyone. You should definitely be evaluated by a specialist surgeon to determine whether you are a suitable candidate.
If you are aiming for a natural, balanced and harmonious nose tip appearance, you can contact us and make your personal consultation appointment. The safest way to find out if tipplasty is the right option for you is through a surgical evaluation.
