Nasal Tip Plasty

What is nasal tip plasty?

Nasal tip plasty is a subtype of rhinoplasty, which is the medical term for plastic surgical procedures i involving the nose. Traditionally, “rhinoplasty” refers to procedures that reshape the nose and the nose bridge, while nasal tip plasty focuses on the nose tip.

Surgery Procedure

Nasal tip plasty is typically performed under local anaesthesia. General anaesthesia is usually available on request.
The closed approach is used for simpler operations, where the surgeon will make incisions in the inside of the nostrils and perform the necessary adjustments from these incisions. For more complex surgeries, an open approach may be taken, where the surgeon makes an additional incision at the base of the columella to lift the skin off the nose, allowing for more precise and accurate adjustments of the cartilage in the nose.
The incisions are closed with dissolvable sutures after all necessary adjustments are complete.


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Possible risks and complications

As with all surgical procedures, there are some risks involved. Depending on the success of the surgery, the following complications may occur:

Temporary disruption of sensation around the nose from disturbed nerves during the surgery, including smell and taste in some cases. Very rarely, this disruption can become permanent.
A perforated nasal septum. This can occur during or after the surgery, and usually requires immediate surgical repair as it can cause intense pain and discomfort.
Complications with anaesthesia used.
Inflammation and infection of surgery wounds.

Nasal tip plasty can be used for the following adjustments:

  • Reducing the size of an overly large nose tip. This is done by removing soft tissue and trimming existing cartilage.
  • Adding volume to nose tips which are too small or flat. This usually involves autologous grafting of fat, cartilage grafts, insertion of artificial implants or any combination of the 3.
  • Reshaping of the cartilage of the nose tip, usually from a rounded or bulbous tip to have a sharper, more defined nose. This may involve a combination of the removing tissue and adding volume.


How long does the procedure take?

As with rhinoplasty, nasal tip plasty can take 1 to 3 hours, depending on the complexity of the operation

What is the downtime?

Patients can expect some swelling and bruising around the operated area for about 1 to 2 weeks.

Are there any scars?

For the closed approach, all the scars are inside the nostrils and not visible. For the open approach, the scar at the columella is inconspicuous and usually unnoticeable after a few months.

What should I take note of before the procedure?

Before the surgery, you should be in general good health. You should also inform the surgeon of your medical history, drug allergies and any medication or health supplements you are currently taking. This will help reduce any unnecessary complications.

Smokers should stop smoking and tobacco consumption from about 4 weeks before the procedure to minimise the risk of related complications.

What should I take note of after the procedure?

Depending on the exact operations performed during your surgery, you may be required to wear a nasal splint for up to 2 weeks to support the nose and facilitate healing. Most daily activities can resume after the splint has been removed.

It is normal to have some bloody discharge from the nose the first few days after the surgery and you need not be alarmed. However, if the bleeding is excessive or persists for more than a week, please inform your surgeon immediately.

Continue to refrain from smoking and tobacco for at least 2 weeks after the surgery.

Refrain from applying excessive force/weight on your nose for up to a month after the procedure. This will help facilitate recovery and prevent the nose from distorting. Some of the things you can do to help are:

  • Do not blow you nose unnecessarily. Avoid doing so completely if possible
  • Opening your mouth while sneezing to direct airflow away from the nose.

Please avoid strenuous work and exercise for about 6 weeks.

Adhere to the post-care instructions given by our surgeon and staff closely. This will help facilitate your recovery.

Can I combine nasal tip plasty with other surgeries involving the nose?

Yes, nasal tip plasty can be performed together with other nose surgeries like traditional rhinoplasty, alarplasty and septoplasty if desired. Please inform the surgeon should you intend to do so.