Do I need full rhinoplasty or can I just augment tip and nostrils? (Photo)

Your nose does not require an ala base reduction. Since your nasal tip is a low tip with thick tip skin rather than a bulbous tip, performing surgery aimed at correcting a bulbous tip could lead to issues such as a pinched tip. Using ear cartilage or septal cartilage to improve tip projection and enhance tip definition can yield promising results.

I think what you're achieving with your fingers is certainly attainable surgically with alarplasty and some tip work. Cartilage for the tip of the nose could come from inside your nose (septum) or in combination with cartilage from one of your ears for a mild to moderate change.

The nostrils can be narrowed with an alarplasty. The bulbous tip can be reduced with a closed tip plasty as well. Both can be done without general anesthesia and the recovery is quicker as no bones are broken.
Regards
Dr. J

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

We can't see your radix area but as I usnerstand these photos and your expectations your dorsum looks good!So you are a good candidate for tipplasty with some cartilage graft to increase the tip definition and alar base surgery your expectations ca ben achieved!Wish you the best luck for your surgery!

You have thick skin and the tip of the nose, so tip refinement would be minimal if any benefit because of the thick skin itself. You can perform just an alar-plasty to simply narrow the nostrils, this can be done under local anesthesia as an outpatient procedure.