Short and sweet answer: You should see a board certified plastic surgeon in your area to discuss treatment options.
Long-winded: Without going into too much detail, you could benefit from an open rhinoplasty to help address your concerns regarding the width of your nose and your nasal tip. You could benefit from cartilage grafts, lateral osteotomies, alar wedge excision, alar rim grafts/lateral strut grafts, and tip work/sutures. A board certified plastic surgeon in your area can discuss your goals and suggest solutions to your specified goals in person.
Asif Pirani, MD, FRCS(C)
Improvement of Nose with Thick Skin and Bulbous Tip
Rhinoplasty will significantly improve your nose. The bridge can be narrowed and augmented with your cartilage. Despite your thick skin the tip can be refined and projection increased to define this part of your nose. The base of your nose can also be narrowed. I encourage you to continue asking questions, consult with rhinoplasty surgeons and establish reasonable expectations.
What a Rhinoplasty Can Do For a Nose With a Broad Bridge, Large Tip, and Thick Skin
Yes it can be corrected. The real question is whether or not the correction will be enough to make you happy that you had it done. In all honesty, you have a relatively difficult nose to do. Your skin looks to be thick, the cartilage may not be very strong, and your nose is very short from the side view. A rhinoplasty will definitely improve the appearance of your nose but since it will be a relatively difficult rhinoplasty to perform, you may not be able to get all the way to where you want to go . For this reason you need to see a plastic surgeon (facial plastic or general plastic) with a lot of experience in rhinoplasty. It is also important that you consult with someone who includes computer imaging as a part of their consultation in order to insure that you have a realistic expectation of the results. This is where I would recommend starting. Good luck.
Rhinoplasty can correct the broad nasal tip
Well planned rhinoplasty can do almost anything, and an important step is setting terms straight, so that you understand what changes will look like. We suggest working out your concerns with computer imaging and simulation to help in the planning. Anything is possible, but only the right balance and look will do.
Rhinoplasty for the wide nose with a bulbous tip and hump.
Rhinoplasty for the wide nose with a bulbous tip and hump can be done with a radix graft and refining your tip without rotating the tip upward since your nose is very short and you do not need any more show of your nostrils. See a very experienced rhinoplasty surgeon.
Yes, you called it right. You have a “Broad Tipped Nose” with what appears to be a wide alar base, nostril show & a lack of a dorsum (short nose). Correction can most likely be accomplished by a Rhinoplasty. Consider writing down the three things you really do not like about your nose. Make sure to also mention in your consult if have issues with difficulty breathing, snoring or sleep apnea. Ask how you Rhinoplasty surgeon is going to correct each of your concerns. Request to see you surgeons actual patients before & after pictures BEFORE you consent for surgery. Best,
Gary R Culbertson, MD, FACS