Rhinoplasty to reduce overall size, primarily bulbous tip and width of nose.

You appear to be an excellent candidate for rhinoplasty.  Of course an in person consultation with a nasal exam is necessary to confirm this. Narrowing of your base and defining of your tip is certainly possible to achieve better overall facial harmony.Make sure you seek out a Board Certified surgeon that specialized in nasal surgery.

The areas that concern you can be
realistically improved with an artistically performed rhinoplasty.

Keep in mind that following advice from a
surgeon on this or any other website who proposes to tell you what to do based
on two dimensional photos without examining you, physically feeling your
tissue, assessing your desired outcome, taking a full medical history and
discussing the pros and cons of the operative procedure would not be in your
best surgery. Natural appearing results need to be individualized and what is
appropriate for one patient is not necessarily the best for someone else. I
would suggest that you find a surgeon with extensive rhinoplasty experience
certified by the American Board of Plastic Surgery and one who is ideally a
member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a
facial plastic surgeon (otolaryngologist) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person. The length
of the procedure, cost, and the specific operative steps to achieve an ideal
cosmetic result vary from patient to patient and would depend on the findings
at your consultation examination.

Robert Singer, M.D., FACS

La Jolla, California

The nose is wide primarily in the nasal tip area and its base.  A tip plasty to narrow the nasal tip and an alar plasty to narrow the nostrils would give the best outcome.RegardsDr. J