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In your situation, it's usually not about reducing the nostril size, but instead improving the length of the columella, the cartilage in the midline of the nose. There are grafts that can be placed to create a better relationship between the two. Be sure to see an experienced rhinoplasty surgeon to discuss the options.
The issue that you alluding to in your comments is poor columella show. You have very thick alar skin and the portion of your nose that sits between your nostrils is called the columella. Typically, 2-3 mm of the columella can be seen on profile. I suspect that you do not have a great deal of tip support either. Often times, placing a graft of cartilage, a columella strut, can help increase columella show and improve tip support. Altering the nostrils is not very effective in addressing this issue. Thick skin, which you have, also makes improvement a bit less dramatic but improvement can certainly be achieved.
You have alar flare and hooding. There are a few ways to approach this. But it's important to remember that with thick skin, you have to have realistic expectations about how much definition of the nostrils can be achieved. Some possibilities of correcting this problem are bringing out your columella, alar base reduction, and a z-plasty. You might need some combination of these options also. Sometimes, an intranasal mucosal excision can also help to bring the nostril edge upwards. Good luck!
Without more photos, and best an exam in person, it is difficult to say what coudl be done. Good luck.
Ahimsa: I have seen people develop empty nose syndrome after their nasal valve is finally fixed. Firstly, I would see if your current surgeon can show you endoscopically that your nose is truly wide open. Do this without spray first because the decongestent spray will open everyone's...
I think that a closed rhinoplasty to remove the small hump would provide a nice improvement for you.Kenneth Hughes, MDLos Angeles, CA
Removing the nasal bump would require a rhinoplasty. However, it looks like you need other parts of the nose, such as the tip, worked on as well. You should go on a few consults with surgeons in your area known fir their rhinoplasty work to determine which option would work best for...
There is a very small risk of infection with rhinoplasty surgery, as there is with any surgical procedure. The risk is elevated if implants are placed during the proceure. Careful adherence to sterile processes, which is observed in all operating facilities, helps keep the risk as small as it is...
There is a debate amongst surgeons about which approach for nasal surgery is better, an open or closed approach. The difference is a small incision along the base of the columella, which often heals imperceptible. Given the choice of an open or closed approach depends on your surgeon and his/her...
It is unlikely that your nose was fractured with trauma. It can be deviated with trauma but sometimes looks this way due to swelling. See your surgeon for best follow up
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