Can a Slimmer Nasal Tip Be Achieved with Just the Cephalic Trimming? (photo)

The cephalic trim of the lower lateral cartilages will thin the tip in certain selected patients.  In thick-skinned patients it is quite difficult due to the nature of the overlying skin that is present.  Alarplasty will simply narrow the nostrils.

      Cephalic trim and suture techniques can be employed to produce the  the nasal tip result you desire.  The rhinoplasty does not have to include the dorsum.  Pinched tips can result from aggressive cartilage resection.  I would not consider using Botox to accomplish any of your goals.