Can I reshape and make my nose longer by moving my nostril sides down? (photos)

The concerns for your nose seem mostly to be due to the shape of the tip.  If you were to narrow the tip, you would want to narrow the bridge as well to maintain the balance of the nose and face.  At the same time you could have your nostril size adjusted if needed.  You will need a formal consultation with a rhinoplasty surgeon to come up with a plan that suits your individual concerns.

Thank you for your inquiry!



It seems that you are a good candidate
for a conservative rhinoplasty reducing the nasal tip and making fine adjustments to complement your facial feature and provide you with the results you fancy.
Swelling will be anticipated and it will be masking the true results of your
surgery but as time passes, more definition will be appreciated!

However, without a physical examination
it is not possible to provide you with specific details. I highly recommend
that you schedule a consultation with a well-experienced surgeon.



It is important to mention that the
finest cosmetic results in any particular case are based on a variety of
factors, including: the unique anatomy of the patient, realistic expectations,
a well-informed and detailed discussion with your plastic surgeon concerning
the best options for you especially covering a deep understanding of the pros
and cons of any given choice you will adopt.



Please keep in mind that following the
advice from a surgeon online who offers to tell you what to do without a
physical examination covering the nature and the status of the tissue,
assessing your desired outcome, taking a full medical history, and discussing the
pros and cons of each operative solution would not be in your best interest.
With that in mind, it is the safest and for your best interest to find a
plastic surgeon with solid experience and certified by the American Board of
Plastic Surgery who is ideally a member of the American Society of Plastic
Surgeons that you will trust and be comfortable with. You should discuss your
concerns with that surgeon in person.



Good luck!!!



Ali Sajjadian, MD FACS

While you are in the right direction and your goals are realistic, I think that both the tip and the nostrils could be slightly narrower. You could choose an experienced rhinoplasty surgeon who could morph your pictures and share the intended changes with you to make sure that you are on the same page.

I think you could probably achieve better tip definition with rhinoplasty.  Skin thickness would be a potential limitation, however, when considering the photoshop image.  The orientation of your nostrils probably cannot be changed to what you have depicted.  However, I think you would be a good candidate overall.  Good luck!

  I think that the tip, bridge, and alar base can be refined to improve the appearance of the nose.Kenneth Hughes, MDLos Angeles, CA

While the exact changes you have depicted can probably not be precisely achieved, most of them are fairly close. The skin over the nasal tip is always a limiting factor in how much tip refinement and change can be achieved. But generally you are not showing unrealistic rhinoplasty improvements

 There are many changes that can be accomplished with the rhinoplasty procedure, and it is always best to do that with an  in person consultation and examination with an experienced rhinoplasty surgeon. Computer imaging in the rhinoplasty surgeon's office would also be of significant benefit for you as well. To narrow the nasal tip, a tip rhinoplasty is performed which involves suture techniques applied to the lower lateral cartilages and sometimes a conservative cartilage removal. De-projection of the overall nose can be accomplished by shaving down the dorsal septum as well as and a hump removal. Columellar show can be reduced if needed. For many examples, please see the  link below to our rhinoplasty photo gallery