Rhinoplasty - what would be best to reduce size? (Photos)

Hi hirakhan. It looks like you would be interested in the "typical" Asian rhinoplasty procedure in that you have similar concerns and goals as what a patient with a typical Asian nose would have. In general, there is less cartilage in the nose of an Asian patient, so this is why there is less support to the tip. In terms of what to do, if you consulted with me, I would discuss shaving the hump, doing Weir excisions to narrow the alar base, doing tip modifications to get the tip less bulbous and more narrow, and adding a septal extension graft to support the tip and give you a little more structure. You should also consider osteotomies, although you did not specifically specify that you think the whole nose is wide. A big limitation you should have is that Asians generally have thick skin (and you do based on your photos), so that will limit how small your nose can get from surgery alone. Good luck!

The droopiness is very common in this type of ethnic nose especially with smiling. Your tip is bulbous and you have a hump that contributes to the droopiness. A standard rhinoplasty with tip-plasty and hump reduction will make a big difference and still keep the ethnic look.
Best regards
Dr. J

You need your jump reduced and the bridge narrowed. It can be done either open or closed. Many surgeons don’t know how to do closed so you will probably get more recommendations for open, which would work also

you would benefit greatly from my traditional functional preservation rhinoplasty. The procedure would involve small, dorsal hump reduction, would take down the dorsum of your nose, as well as tip, refinement to improve projection, and decrease the boxiness of your nose as well as correct your tension tip when smiling. Additionally, I think you would benefit nicely from a small weir base resection, which would narrow your base. these procedures combined will create a very natural nose that fits your face.

Issues with your nose:
The issues which you mention are typically addressed during a routine rhinoplasty. Reducing the width of a bulbous tip, reducing the width of a wide bridge, elevating a droopy tip, and reducing a dorsal hump, are standard procedures during a typical rhinoplasty. A natural result is achievable, but just make sure your surgeon understands that that is what you are looking for.This could be achieved with either open or closed rhinoplasty. I prefer closed rhinoplasty because it is less invasive, but ultimately it depends on the comfort level of the surgeon. Some prefer closed while others routinely perform open rhinoplasties.Good luck.