Can I achieve a slimmer nose with just an alarplasty? (photo)

Improving the nostril width with an alarplasty is a frequent request of patients wanting nasal refinement. It is possible to improve the cosmetic appearance of the tip alone without altering the rest of the nose in some patients. Whether the optimal option in your particular situation would be a tip rhinoplasty alone or a full rhinoplasty would best be determined at a consultation. Either procedure can be performed with a closed or open approach. 

Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on a limited photo without examining you, physically feeling the 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. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. 

Robert Singer, MD FACS 

La Jolla,California

Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance.Asian rhinoplasty creates definition by addressing the bulbous tip, retracted columella, thick skin, a wide ala with cartilage grafting. I would recommend consulting with a surgeon who understands these concepts for a safe and happy result. Safety comes first.