Self-conscious about wide nose - What can be done to improve this? (photos)

Hello @emmalemonn thank you for your question. The nasal alae are part of the nasal structure. When modifying the nose, symmetry must be preserved and for this reason the surgical plan must be complete including the functional part and the nose completely. In this way it is possible to reduce the width of the nose and harmonize the rest of the structure. For more information and recommendations it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

You have a good eye and reasonable concerns. Not all rhinoplasties are created equal, just like all noses are different, so it's important to match the treatment to the concerns. On first glance, what can be seen in your case is a relatively wide but also straight and well-projected and rotated nose that features a somewhat prominent columella with comparatively less robust ala and a slightly bulbous tip without clear definition. In other words, your nose is a little wide and big at the tip. How to address this would likely include what's called a cephalic trim, some maneuvers to further define your nasal tip, with or without lateral osteotomies, or bone cuts, to narrow the nasal dorsum. What does all that mean for you in plain language?...Either you need a short tip procedure that won't cost as much and have less recovery time or you need (likely) a longer procedure that involves more expense and recovery time but allows you to achieve your main goal of an overall narrower nose. Have a good, thorough consultation with a knowledgeable surgeon to decide which is best for you and your goals.