Best procedures for a piggy nose? (photos)

The best thing to do is to have a consultation with a rhinoplasty specialist who can do computer imaging and try to show you these things. The cartilage of the tip can be reshaped to make it a bit longer and thinner while bringing in the nostrils some at the same time. That will result in a nice nose that matches the bridge and looks natural at the same time.

Hi @piggynose5. Thank you for sharing your photos. You are an excellent candidate for a rhinoplasty.
I recommend seeing an expert rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination.

Best of luck,

Dr. Nima

You do not need any grafting. The issue is a bulbous tip and flaring nostrils.

Tip-plasty and Alarplasty

You can have the lower half of the nose (tip and nostrils) addressed without breaking the nasal bones. Tip-plasty can address the bulbous tip either through closed or open approach to make it narrow and refined.
Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty.
Both of these can be done under local anethesia.
Watch the video link below.
Regards
Dr. J

You should of course see a facial plastic surgeon in person to discuss your best correction of the issues that make you unhappy with your nose. It does not appear that you would need grafts. Through rhinoplasty approach you could have your tip narrowed and improved to a more triangular shape rather than your present trapezoid configuration. Also narrowing the base of your nose will further enhance the result and help with correcting the piggy look.

Thank you for posting your photos with your interesting rhinoplasty question. It appears that you have a bulbous nasal tip and wide alar base. A suturing technique that narrows the shape of your lower lateral cartilages and creates a more triangular tip rather than a broad trapezoidal tip that you have. I do not feel that a cartilage graft is necessary. An alarplasty can be done once you have narrowed the tip. Basically, you can have a natural and more beautiful nose. I recommend that you have a consultation with a Board Certified Plastic Surgeon who is experienced with rhinoplasty. At the time of you consultation you can discuss your goals and see the plastic surgeon's before abd after rhinoplasty photos. Best wishes, Richard Wellington Swift, M.D., F.A.C.S.

Every nose is different and unique to that individual. If the appearance of your nose concerns you enough to do something about it, it can be improved with a natural artistically performed rhinoplasty. What would be the best option and exact procedure would depend on an in person examination (not just an online consultation) and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do and how technically to do it based on limited photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California