How to reduce nostril height or 'nostril show' on frontal view? (Photo)

Following the advice from a
surgeon on this or any other website who proposes to tell you exactly what to
do based on limited 2 dimensional photos without examining you, physically
feeling the tissue, assessing your desired outcome, taking a full medical
history, and discussing the pros and cons of the operative procedure would not
be in your best interest. I would suggest you find a plastic surgeon with
extensive nasal surgery experience who is certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) or a facial plastic surgeon (ENT) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD FACSLa
Jolla, California

The answer to your question lies in diagnosing the primary problem that is causing the increased nostril show. If the tip is over rotated, then derotating the tip will reduce nostril show. If the columella is hanging, then flattening the columella is the answer. If the top of the nostril is retracted or curved upward, then rim grafts will provide that improvement. Finally, some nostrils have excess flare, which causes increased show on front view. A nostril or alar base reduction will help to improve that. However, most nostril reduction procedures will also narrow the width slightly.