My nose is too long and my nostrils are large. What treatment would you recommend? (photos)

Question

I'm looking for a doctor in the NJ/NY area who can perform a tip plasty. I had one consultation with a doctor who recommended a full rhinoplasy, he said shaping the cartilage at the top will shape the rest of the nose and my nostrils will be smaller. At my age (49), I'm looking for a less invasive procedure to just reduce the tip a little. Is it possible to trim the cartridge at the tip only? Appreciate any advice.

Nima Shemirani, MD · Answer

Dear realmelessnose14,Try the Glasgold Group in NJ, they perform plenty of rhinoplastiesIt is hard just to change a very specific part of the nose, the nose is three-dimensional and a small change in one area may make the nose look odd from other anglesBased on your pics, in order to make the tip smaller, you should bring the lower part of your bridge down to meet the smaller tipA computer morphed image can help show thisBest,Nima Shemirani

Kenneth Hughes, MD · Answer

The tip can be deprojected in closed fashion but will likely require other changes to maintain balance.Kenneth Hughes, MDLos Angeles, CA

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