What Is a Bifid (Split) Nasal Tip?

A bifid nasal tip is when there is an indentation or aperture at the tip of the nose, giving it the appearance of being split into two distinct divisions. This can take on either a subtle dip or even a deep division. From the frontal view, many of these noses will exhibit a “double-dome” appearance of the nostrils due to that indentation.

What Causes a Bifid Nasal Tip?

The abnormality in the shape and position of the lower lateral cartilage in the nose usually causes a bifid nasal tip. These are paired cartilages; as such, they share in the formation and support structure of the nasal tip. If these cartilages are separated or otherwise splayed apart, this can cause the overlying skin to dip down, giving the appearance of a bifid. Several factors may cause this separation:

• Most people have one due to a family history. For example, people whose relatives have a bifid nasal tip are more predisposed.
• Interruptions or abnormal growth patterns lead to the formation of a bifid tip while the nose is still growing inside the womb.
• Severe physical trauma to the nose sometimes deforms the structure and position of the cartilage, eventually leading to a bifid appearance.

Why Some People Choose to Correct a Bifid Nasal Tip

While a bifid nasal tip is a variant of normal anatomy, some individuals may feel a little conscious about its appearance, particularly when it attracts unwanted attention and causes a loss of self-esteem. For those whose bifid nasal tip does not seem to blend harmoniously with the rest of the face, rhinoplasty provides an avenue for correcting the anomaly and attaining better balance and symmetry.

Apart from the aesthetics, a functional disturbance can be expected by some people with a bifid nasal tip, mainly if the separation of the lower lateral cartilages was going to affect the anatomy or physiology of the nasal passages. In such a way, bifid nasal tip correction will not only improve the appearance but also enhance breathing.

Is a Bifid Nose a Deformity?

The word “deformity” is negative and thus inappropriate to describe a bifid nasal tip. Although it differs from what many would consider the “typical” nose shape, that doesn’t mean it’s a deformity. Everyone’s nose is unique, coming in different sizes, shapes, and contours. A bifid nasal tip is just one of these many variations. Some may accept it as a distinct feature; others may be shy about having a bifid nose.

How Rare Is a Bifid Nose Tip?

The exact incidence of bifid tips of the nose is impossible to determine because mild forms may not be reported or even recognized. Although not particularly common, it is not excessively rare either. Most plastic surgeons have treated at least a few patients with bifid nasal tips, and rhinoplasty specialists probably see them more frequently.

What Percentage of People Have a Bifid Nose?

This congenital deformity occurs in less than 0.0008% of the population, but the most common craniofacial cleft occurs along the midline. 8% of those affected have hypertelorism together with a bifid nose. The incidence can vary also in ethnic and genetic groups. For example, some ethnic groups could experience a higher or lower incidence due to genetics.

Can Bifid (Split) Nasal Be Fixed With Rhinoplasty?

A bifid nasal tip can be treated with rhinoplasty or surgical nose reshaping. The surgery will bring the lower lateral cartilages closer to eliminate or diminish the bifid appearance in this case. The techniques that might be employed to achieve this are:

• Suturing techniques. Surgeons place stitches to approximate the separated cartilage.
• Cartilage grafting. Cartilage, typically harvested from another area of the patient’s body, can provide additional support or alter the shape of the nasal tip. 
• Repositioning cartilages. This method involves repositioning the cartilage to bring homogeneity to the nasal tip. 

For those seeking rhinoplasty, we advise consulting Dr. Kadir, a very professional and richly experienced rhinoplasty expert who does operations on the nose. And have recommendations based on your unique anatomy and aesthetic goals.

Non-Surgical Options for Managing a Bifid Nasal Tip

Rhinoplasty is the only permanent and most effective solution for improving the appearance of a bifid nasal tip. However, some non-surgical options do help manage its appearance. For example, dermal fillers can fill out the indentation and provide a more unified appearance to the nasal tip. Such results are transient and last anywhere between six months and one year. Non-surgical methods may be attractive to the curious who want to “test the waters” before resorting to surgery, while others seek non-surgical solutions for less invasive options.

Another non-surgical treatment includes certain makeup techniques that can help make the split appear less deep. Contouring the nose with darker and lighter shades of makeup could also create an optical illusion, giving the impression of a more unified nasal tip. It is not permanent, but it can be very helpful for special occasions or even everyday confidence boosts.

What to Expect During Recovery from Bifid Nasal Tip Rhinoplasty

Recovery after rhinoplasty surgery to correct a bifid nasal tip is usually characterized by some swelling, bruising, and discomfort; most of these are experienced during the first days immediately after surgery. The healing period typically takes at least a week off work or school. The surgeon will probably apply a splint onto the nose to protect the new shape and hold it in place while healing.

One must follow the surgeon’s instructions for post-operative care, which may include avoiding strenuous activity, sleeping with an elevated head, and applying cold compresses to the face to reduce swelling. While most patients start noticing a considerable reduction in swelling within two weeks, some may need several months for the final surgery results to be visible; this happens as the nose settles into its new shape.

Conclusion About Bifid Nose Surgery in Turkey

A bifid nasal tip is an anatomical feature wherein the nose tip appears to be divided due to separation between the underlying cartilages. This is a natural variation in the anatomy, but those feeling very conscious about it can apply for surgical interventions like rhinoplasty to alter the appearance. Again, as with any surgical procedure, it’s essential to be well-informed and work with an extremely skilled, experienced surgeon who will help you find the perfect way to correct the condition.