What can be done for my Filipino nose that has wide nostrils and a bulbous tip? (Photos)

Increased support with a columellar cartilage strut taken from you septum combined with reshaping of your tip cartilages and bring in your nostrils with a weir resection keeping the incisions hidden in the nostril floor should give a nice improvement.  You already have a nice nose and are looking for a refinement.  The bridge can be left alone.

Dear jessicakplano,You already have a pretty nose to work with because you do not need augmentation of your bridgeI would focus on narrowing the tip, giving it more support and definition with cartilage grafting, as well as narrowing the nostrilsI think you would have a very nice resultBest regards,

Dr. Nima

Member, American Academy of Facial Plastic and Reconstructive Surgery

Board Certified Facial Plastic Surgeon

Board Certified in Head and Neck Surgery

You are looking at a Tip Rhinoplasty where the nostrils, alar and domes can be re-shaped. You would require an Open Rhinoplasty followed by cartilage trimming and suturing. This can be achieved with and without grafts depending on the stability of your cartilages. Finally trimming the alar base will reduce your nostril length. The end result would be a narrower, refined nose that gives you confidence.