Is It Possible to Reduce a Very Large Nose to Significantly Smaller Nose?

Dear Alex,

What you need is a reduction rhinoplasty. Reduction rhinoplasty is the medical term used to describe nasal surgery planned to reduce the overall size of the nose. When Ii talk to my patients about cosmetic nasal surgery, specifically reduction rhinoplasty, I tell them that the nose should be addressed in three specific areas: the nasal hump, the tip area, and the width of the nose.
Most patients interested in nose job, want the "bump" on their nose to be taken down. This typically refers to the nasal dorsum. Other patients want to reduce the size of nasal tips that are too far from their faces. And there are some who are interested in reducing the width of their nose.
To address these changes and to maintain proper nasal proportion your surgeon should help you to understand how the nose and cartilage are modified and reshaped to create the desired shape. This not only helps to improve the appearance of the nose, but also restores self-confidence you deserve.
 

It is possible to reduce the size of a very large bulbous nose. However, it will always be a rather large nose if you cannot keep the nose in balance. There is just so far one can go to improve the tip projection and bulbousness and the thickness of skin with while keeping it looking natural.  Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

There is no question a large nose can be made significantly smaller but there are limitations.  2 of the most important factors are the skin thickness and the patients age.  The solid framework of the nose (ie, the bone and cartiledge) can be reduced but the skin may not redrape and retract enough to give a good contour.  Over reducing the nose to make it small, may create poor nasal / facial balance.  Instead of focusing on size as an end result, an excellant shape which is harmonious with your facial balance may be most satisfying.