Procedures to make nose symmetrical and proportionate to the face?

As you can see my nostrils are very big, and my tip is very bulbous, and although you may not see it, my nose is a little crooked (pictures reverse). Also, you can see that my nose overprojects far from my face due to the bulbous tip.

What procedures would you suggest? I know alar base reduction would be one of them. My nose is already pointy though, so I don't know how one can make it less bulbous from the front view. Please help.

Procedures to make nose symmetrical and proportionate to the face?
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6 answers to “Procedures to make nose symmetrical...”

A: Bulbous tip of nose

Nina S. Naidu, MD

I would agree that the tip of your nose is a bit full and that it could be reduced.  This can be done by reducing the cartilage beneath the nose and defatting the tip if your skin is thick enough.  Your projection does not seem too bad to me on the photos above, but the tip is rotated up a bit and... more

A: Bulbous Tip

Richard W. Fleming, MD

As you say the most striking feature is the bulbous tip. With thick skin it is best to change cartilage contour rather than do cartilage reduction. Alar reduction would also be beneficial. I cannot be sure looking at these pictures, but slight  profile reduction with decreased projection should be considered.

A: the tip needs reduction

Joseph Perlman, MD

In looking at your photos, it is obvious that the bulbous tip is the main problem and needs to be addressed. Your skin looks thick and ,with thick skin, tip refining is a more difficult problem.in addition, the tip is slightly elongated ,so you would need sculpting of the cartilage, narrowing of the tip using... more

A: Bulbous Overprojected Tip

Oleh Slupchynskyj, MD

Hi, Your bulbous tip is primarily due to thick skin and large lower tip cartilages. To refine this, the tip skin must be defatted and the tip cartilage reconstructed. I don't think that a nostril narrowing procedure will give you what you want. I believe that if you have a good tip - plasty, your nostrils wont... more

A: Different Noses for Different Faces

Richard W. Westreich, MD

The problems that you point out with your nose are all very valid concerns. With regards to your face, it has a rounder shape, which balances well with a slightly wider and shorter nose. If you have a long and thin face, then more work would be required to narrow and lengthen the nose in order to acheive... more

A: Bulbous Nose

Mark A. Jabor, MD

Yes the tip of your nose is bulbous and there is a broad alar base. However, I would not get caught up in all the technical jargon of what needs to be done. This is the job of the plastic surgeon. Safe to say, that looking at your picture refinements could be done on your nose to put it into better proportion... more

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