Luis Loustaunau, MD

The only way to make the nose pyramid appear wider, is to insert cartilage grafts on both sides, (left and right), also those cartilage grafts will improve your breathing difficulties, and also for the pinched tip improvement. If you can send pictures of your nose from other angles. Like bulls eyes, (Lower to upper) to see your nostrils and 3/4 side view left and right for possible deviation, that also can be corrected with cartilage grafts.