Do I need nasal bone breaking process to make my nose slim? (Photos)

Performing osteotomies (the hammer that is used in surgery to fracture the bone in a controlled fashion) is one of the techniques to narrow the bony portion of the nose. As far as the lower two thirds of the nose, cartilaginous techniques to narrow and refine the midvault, tip and nostril are often needed to accompany the former and thus achieve more defined and balanced aesthetics overall. 

Great question!  The upper portion of the bridge is composed of bone.  The only way to narrow this is to fracture the bones on both sides and bring them in to narrow the bridge.  The tip of the nose is made of cartilage and the excess cartilage can be excised to create a slimmer appearance.  Although the notion of "breaking the bone" seems a bit dramatic, the healing process is not nearly as bad or painful as most patients believe.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsai

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. You may also benefit from an alar base reduction.  Osteotomies may also be beneficial.  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. FACS
Harvard-trained plastic surgeon

You seem to be a good candidate for rhinoplasty. In person evaluation and consultation with a board certified plastic surgeon with expertise in nose surgery would give you a chance to discuss your goals and options. Good luck.

 Osteotomies are a very routine component of rhinoplasty, and are performed in the high majority of cases to narrow the entire bridge line. There also mandatory after any dorsal hump removal because the hump removal itself creates an open roof, flattop nasal deformity.  Osteotomies accomplish narrowing the upper 2/3's of the nose which include the nasal bones and the upper lateral cartilages which is the also known as the bridge line. A tip plasty accomplishes narrowing the nasal tip cartilages. An alar-plasty accomplishes narrowing wide nostrils at the base of the nose. For more information  and many before-and-after examples, please see the link and the video below