I'm interested in a subtle 'conservative' nose job and would like to research and consult. Any suggestion? (photo)

Improving the nostril width and refining a bulbous tip are
frequent requests of patients wanting nasal refinement. It is possible to
improve the cosmetic appearance of the tip alone without altering the rest of
the nose in some patients. Whether the optimal option in your particular
situation would be a tip rhinoplasty alone or a full rhinoplasty would best be
determined at a consultation. Either procedure can be performed with a closed
or open approach.
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

Hello AmitGoldberg,Thanks for your question.What you are asking for is known as finesse rhinoplasty.There are ways to improve your nose in the subtle ways you would like.  While your nose won't look exactly as you pictured on the bottom picture, it can get very close to that look.A tip rhinoplasty can make the center more narrow.  Wider nostrils are a bit more difficult to achieve depending on the starting anatomy.  In any case, you would need to be seen in person for an exam.I would recommend that you consult with a rhinoplasty specialist, have pictures taken, and have rhinoplasty simulations performed to see what might be possible.  From this information a surgical plan can be developed to help you.If you have any other questions, you are welcome to visit with us at my practice in Cherry Creek.Take care,Dr. Shah

 The nose is a three-dimensional structure, so a full set of facial photographs are required to make a determination about what can  and cannot be accomplished. The bulbous tip can be reduced, the bridge line straightened, And the asymmetries improved. For many examples a rhinoplasty, please see  the link below