Is it possible to make my alar nostrils nose smaller without looking unnatural? (Photo)

    I think that tip refinement and alar base modification would be appropriate.Kenneth Hughes, MDLos Angeles, CA

Excessive alar narrowing can flatten the natural curve to the ala and make him look unnatural.A properly executed procedure however should give you some appreciated modest improvement.

I think you would probably do well with conservative rhinoplasty to help give better transition between the nostrils and the tip.  The shadow you have between the tip and nostrils causes the nostrils to appear more prominent than they are.  I would suggest contouring the nostril rim to help with this along with some tip refinement.  To answer your question, nostril reduction can be done without looking unnatural.  Look not only for a board certified facial plastic surgeon or general plastic surgeon, but a surgeon who specializes in rhinoplasty.  Good luck!