I Have A Wide, Flat Nose. Can It Be Changed? (photo)

For sure your nose could achieve a rather significant improvement in terms of being more refined with a defined tip.  The key - establishing a strong columella/tip, after which the rest of the nose will fall into place.  Likely this requires using septal cartilage for a columellar strut, and other challenging techniques.  Do your homework and make sure you see plenty of before and after photos of cases like yours. 

Greetings from Istanbul and thank you for sharing your concerns.To address your question: Rhinoplasty aimed at significant transformation, such as what you're considering, can be more complex but it's not necessarily more dangerous or associated with a longer recovery period. It's all about selecting a skilled surgeon experienced in ethnic rhinoplasty.For the changes you desire, the procedure would likely involve a few key steps:- Refinement of the nasal bones to achieve a more streamlined look,- Use of a rib cartilage graft to elevate and define the bridge of your nose,- A strategic tip plasty to eliminate excessive fatty tissue, coupled with additional rib grafting for structure, and- Reduction of the nostrils to align with the newly contoured nose.The end result would be a narrower nose with a less bulbous tip and more projection that complements your facial features beautifully.Your next step should be to seek a consultation with a surgeon specializing in African American rhinoplasty, who would be able to provide more personalized advice. Best of luck!

You should be able to get dramatic results but be careful you don't go too far the opposite way. In other words, I wouldn't recommend turning yout tip into a "point". Changing your tip into one that is more narrow, with better definition and projection will create an obvious difference without looking strange. Take celebrity photos with you at your consultations to better help you explain to your surgeon what you are looking for. Good luck.

AA and ethnic noses require augmentation on the nose bride, tiplasty to refine the tip, and often alar base reduction to narrow the base of nose.  Options available to raise the bride are silastic implants and your own cartilage from either behind the ear or rib cartilage, depending on the amount needed.  A thorough consultation with an experienced ethnic rhinoplasty surgeon will help you decide on your best options.  

African American frequently desire rhinoplasty to create a thinner nose and make the nose less flat.  Many of the techniques discussed are different than Caucasian rhinoplasty which often involves reductive techniques. First of all, there are a variety of techniques to thin a nose including:1. Osteotomies- narrowing nasal bones2. Augmenting the bridge- using cartilage to make the nose appear thinnerIn addition, the nasal tip can be made both thinner and less flat by projection of the nasal tip.  This is often accomplished by using cartilage from the nose to support the nasal tip and give it structure.  Finally, some patients desire less heaviness along the bottom of the nose benefit from an alar base reduction.  This can involve a variety of techniques including inside the nose and outside the nose approaches.  

African-American rhinoplasty is a subspecialty that requires extra care, training and expertise. To give your nose more definition and make it look less flat, the surgeon will take cartilage from another area of your body, such as:

The nasal septumThe earA ribThis would be used to build up your nasal bridge and support reconstruction of the nose so that the improvements obtained during surgery would be maintained throughout your lifetime. During your rhinoplasty procedure, the tip of the nose would be reshaped to give it more of the “point” that you desire. This is done by bring the tip of your nose out farther from the face, thinning the nasal skin, and reshaping the nasal tip cartilages.  The nasal bones and width of the nostrils are wide.  They will be made slimmer with nasal osteotomies and alar base reduction.  Rhinoplasty should improve the shape of your nose while preserving its unique ethnic qualities and keeping it in harmony with the rest of your face.