Without a full face picture, it is difficult to determine
exactly what type of rhinoplasty you will need. In general, options for correcting wide nostrils would entail an alar
base reduction. To correct a bulbous
tip, there are a number of ways to improve this including suturing the
cartilage closer together, giving the tip more support, and trimming away
excess cartilage or soft tissue. However, these measures are performed taking into account how the nose fits
within the framework of your face. That
is why it is very important that you seek an in person consultation with a
board certified plastic surgeon, so he or she can assess your face as a whole
and determine your rhinoplasty needs.
More photos and/or an in-person exam would be necessary to give you the best advice. I would recommend a consult with a board certified rhinoplasty specialist. He/she may use computer imaging software to morph a photo of you, which will give you an idea of how the final result of surgery may appear. In general, an alar base reduction along with tip refinement will help with the issues you describe. I hope this information helps, and I wish you the best of luck.
I think that an alar base reduction and tip refinement would be beneficial. I do this type of reduction nose surgery every week.
Kenneth Hughes, MD
Los Angeles, CA
An alar base reduction would be beneficial but I cannot make any other recommendations with the very limited views of your nose. I need to see a full set of pictures of your nose as described on my website.
It is really hard to give you advice based on the photos you sent. Yes, you would definitely benefit from a tipplasty, but I can not tell (by the photo) what exactly you would need with the rest of the nose. Whether you need just the tip or the whole nose would necessitate better photos....front view of the face; side view.