Hello and thank you for your question. Based on yourphotograph, you may benefit from a tip refining rhinoplasty. Your surgeon canaccomplish this by trimming, suturing, and reshaping the cartilage in yourlower nose. You may also benefit from an alar base reduction. Makesure you specifically look at before and after pictures of real patientswho have had this surgery performed by your surgeon and not just a computeranimation system. The most important aspect is to find asurgeon you are comfortable with. I recommend that you seek consultation with aqualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon
Without the benefit of physical exam, and a clear set of photos- all views- it's difficult to comment accurately. Generally speaking, in order to achieve the best looking nose- all aspects of the nose have to be addressed. It can be achieved through a closed technique- without a scar across columella. I suggest that you seek an experienced Board Certified Plastic Surgeon for in person exam