Is it possible to slim the middle part of the nose without touching the tip nor the bridge?

Question

I want a slimmer nose but I do not want to touch the tip nor bridge. I've been thinking of the alar base reduction(?) but I'm not sure if that's the right procedure. I want to slim down (make it more narrow) the part where the arrows are pointing to. (see picture)

Ali Sajjadian, MD, FACS · Answer

Hello and thanks for your question.

Given that the nose and face are three dimensional structures, a complete array of photographs in frontal, 45 degrees and 90 degrees profile angle as well as base view are needed to assess the existing anatomy.

Nasal tip-plasty is a procedure that is used to narrow the tip of the nose. This is done with cartilage reshaping techniques. Often, a combination of grafts and suture may need to be used to create favorable shape and outcome.

Reshaping of the bones can be done with a combination of modifying the bone and the bridge with a variety of bone reshaping tools. Piezoelectric or ultrasonic devices or other filing or reshaping instruments can be used.

I would highly recommend visiting a few plastic surgeons who specialize in this exacting and artistic procedure. In our office we provide patients with a personalized, individualized and complementary consultation to address these similar issues.

For more information and many before and after examples please see the link below.

Best wishes and good luck.

Dr. Sajjadian

Triple Certified Plastic Surgeon

Brian M. Harmych, MD, FACS · Answer

Thank you for sharing the question. You've reference a photograph though a photo is not attached to the question. Not all rhinoplasty operations involve making dramatic changes to the nose. In fact, some of the best results are obtained by patients seeking small changes and minor improvements. If you are seriously considering making changes to the shape of your nose, a consultation would be informative. A board-certified plastic surgeon or facial plastic surgeon that performs a significant number of rhinoplasty procedures would be best. I hope this is helpful.Good luck,Dr. Harmych

William Portuese, MD · Answer

A full set of photographs are required due to the fact that  the nose is a 3-dimensional structure.  To narrow  the nose and make the nose more slim requires osteotomies placed in the nasal bones which accomplishes narrowing the nasal bones and the upper lateral cartilages.   Narrowing the nasal tip requires a tip rhinoplasty.  To narrow wide nostrils requires an alar-plasty.  For more information and  many before and after examples,  please see the link and the video below

Victor Chung, MD · Answer

Rhinoplasty is a surgery to change the shape of the nose for breathing or appearance.Many patients request a slimmer and more refined nose. There may be particular areas that they want to change and areas they do not want to change. The most important consideration is making the nose blend with the rest of the face. This may be a big change to one area or multiple subtle changes.I recommend a consultation with a rhinoplasty specialist so she/he can ask you questions, examine your nose, and take photographs. I like to use 3D computer simulation to get on the same page as my patient regarding their goals. Safety comes first.

Richard W. Fleming, MD (retired) · Answer

Every rhinoplasty procedure is individualized to meet the needs of that patient; if it is preferable to just change the middle of the nose that is what should be done. Unfortunately the picture is not attached to your post.

Is it possible to slim the middle part of the nose without touching the tip nor the bridge?

Answers (5)

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