What rhinoplasty options are there for me? Am I a good candidate for an alar base reduction?

Though you mentioned
you don't need your bridge addressed, the balance between your bridge, tip and
nostrils is critically important in creating an attractive nose. Often the thickness of the skin requires increasing the projection of
the tip of the nose, in addition to reshaping the cartilage, to increase its
definition and size.Consult with an experienced rhinoplasty specialist and
look carefully at his/her Before/Afters to find a surgeon with the aesthetic
that matches yours.

Yes. You appear to be a good candidate for rhinoplasty. One point of discussion for you to discuss with your surgeon is that you appear to have fairly thick nasal tip skin. This will, to some degree, limit the amount of refinement that is possible with your tip. However, tip modification and nasal base reduction should create significant improvement in the size and shape of your nose. Best.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Hello couleesmile,Thanks for your question.Looking at the pictures of your nose, it would seem that you need augmentation of the bridge of your nose, tip structure reduction, and a conservative alar base reduction procedure.If you were to just narrow the nose without raising the bridge the end result would be unsatisfactory and not at all harmonious with the rest of your face.I would recommend that you consult with a rhinoplasty specialist in your area.Good luck,Dr. Shah

Rhinoplasty to address the size and shape of your nose should help you address your concerns. You have to understand that there is no such thing as the “perfect” nose. As rhinoplasty surgeons, we are able to improve the structure and function of the nose to address specific issues you have with how your nose looks and and how well you can breathe. Perfect symmetry does not exist in nature. Attempts to improve the symmetry of your nose should be aimed at achieving an improvement in your asymmetry to the point where it is no longer very noticeable. If you look carefully enough, you will always be able to find imperfections. The goal is a normal looking nose that is in harmony with the rest of your anatomy.

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

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. Cartilage grafts may also be used to help improve tip refinement.
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

A conservative alar base reduction with a cinch procedure will narrow your alar base nicely.  Along with that, a reduction of your tip width would be nice and osteotomies to narrow your bridge.  Best wishes, Dr. T. 

Improving the nostril width is a frequent request of patients wanting nasal refinement. It is possible to
improve the cosmetic appearance of the nostrils alone without altering the rest of
the nose in some patients. Whether the optimal option in your particular
situation would be a tnostril base reduction alone or a full rhinoplasty would best be
determined at a consultation. 
Following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do based on limited
2 dimensional photos without examining you, physically feeling the 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
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla,California

  A rhinoplasty procedure can accomplish narrowing wide nasal bones, narrowing the bridge line, narrowing the tip, and narrowing  wide nostrils. For many examples, please see the link and the video below

You need complete rhinoplasty. Your results will still be limited by your existing tissue characteristics. Thick skin and nasal tissues limit your achievable outcome.  In addition to nostril reduction you need nasal tip refinement and narrowing of your nasal bridge.