How to reduce/get rid of the fatty skin on the sides of the nose? (photo)

Hi there,The question of what to do here likely would involve a personal examination. As, the answer depends upon the composition of the thickness. Also, I am assuming here that you're quite comfortable to leave the rest of the nose unaltered. If it's bone (i don't think it is) - then a closed nasal vault rhinoplasty can narrow it. Pretty simple.If it's fat / skin - then it can be thinned via internal (closed) incisions. I doubt it's fat.If it's muscle (and I think it most likely is nasalis muscle hypertrophy) then it can readily be treated with botox, non surgically. It would need say 5 units of botox per side probably every 6 months or so. An excellent solution, not expensive, reversible, and over time as the muscle bulk lessened, then less rather than more botox is needed. Essentially riskless.One thing to note: If it is muscle, and it is removed or paralysed, it might impact on your breathing. The nasalis muscle has a function. Google it and learn about the muscle, and it's function.All the very bestHoward WebsterPlastic surgeon

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Some the lateral soft tissue can be debulked also.   Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your question.  Based on your picture, it appears you have concerns with the fullness on your nasal sidewall.  This may secondary to soft tissue underneath the skin, from cartilage, or from a wide nasal bone.  Most likely it is a combination of the above.  This can be corrected through a rhinoplasty, and could be approached either through a closed or open fashion.  What most likely would happen is the underlying bone and cartilage are reduced in order to smooth this area.  I would consult with a board certified facial plastic or plastic surgeon, who specializes in rhinoplasty for a full consultation and physical evaluation. Here you can discuss your goals and expectations for surgery.I hope that this helps!-David Gilpin