Broad tip with wide nostrils - tip plasty only or rhinoplasty + tip plasty? (Photos)

You can certainly work only on the tip of the nose and make a great improvement in the appearance of the nose. It might be beneficial to shave the cartilaginous bridge just a little bit, but you shouldn't need osteotomies which means less healing. Be sure to see a rhinoplasty specialist for consultation.

Based on your photos, you appear to have relatively thin nasal skin with a wide appearance to the lower 1/3 of your nose, and a droopy tip and pollybeak on profile. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect from well-performed surgery. I hope this helps and I wish you well. Sincerely, Dr Joseph

You would benefit from a rhinoplasty. You have a slight dorsal hollow and you need the nasal columella angle increased to 110 degrees and the tip refined.

Best Wishes,

Gary Horndeski, M.D.

To improve the "slightly turned downward" profile, rhinoplasty required for the best aesthetic result. However, my personal judgment differs from yours because I don't believe your tip is particularly broad nor do your nostrils appear wide to me. Lowering the top of your nose below the tip and refining the tip by diminishing its size a bit, lifting it a bit, and re-shaping for more delicate contours will feminize it and match the beauty of your nose to your other attractive features.

Tip plasty versus full rhinoplasty: from the pictures you show, it appears that you have a dorsal hump and somewhat down sloping tip in addition to the wide tip and nostrils that you mention. A much more aesthetically pleasing result would be obtainable with full rhinoplasty then with tip plasty. I’m not sure what risks you are referring to, But the anesthesia risk for a Rhinoplasty in a generally healthy person is minuscule In good hands.

I suggest you get a comprehensive rhinoplasty and facial assessment by having multiple in person, consultations with senior board, certified plastic surgeon, who have a proven track record doing rhinoplasty surgery.
Avoid virtual consultations whenever possible.
Look for plastic surgeons who ideally specialize exclusively in rhinoplasty surgery, or those who have a very strong emphasis on rhinoplasty surgery in their practice.
Look for senior plastic surgeons, who have at least one or two decades of rhinoplasty experience.
Schedule as many consultations as possible to help find the best provider for your needs.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had very similar facial characteristics to your own.
Bring pictures of yourself to use as reference during the consultations.
Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like, or how many of these procedures they’ve actually done.
An experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
There’s no correct number of consultations needed to find the right provider.
The biggest mistake patients make is having only one consultation and then scheduling surgery.
Having only one consultation, more or less eliminates the ability to choose a better provider.
Whenever we look at one anatomic region from a cosmetic perspective, we always have to look at adjacent regions because they influence the area of concern.
To get the best result I think you need a little more work than just a tip rhinoplasty.
Getting a quality assessment and thorough understanding of an appropriate plan of action should be done as an in person consultation.
Best
Mats Hagstrom, MD