How to fix flared nostrils and downward pointing nose when I smile? (photos)

Thanks for reaching out.  The solution to your problem is straight forward. Weir excisions are carried out by making an incision at the base of your nostrils and tightening their footprint.  This will result in reducing the amount your nostrils flare out.  In regards to the tip of your nose being pulled toward your lip when you smile, this is caused by excess depressor muscles.   This can be improved by a small incision inside your nose and cutting the attachments of this muscle.  Your septum can be addressed with a septoplasty and can be approached with a closed technique.  I would recommend to anyone getting Weir excisions not to undergo open rhinoplasty at the same time as this would greatly reduce the blood flow to the tip of your nose.I hope this helps :)

Thank you very much for sharing your concerns with us.Through rhinoplasty we make small changes, but that is quite noticeable. After having analyzed all the info. and photos provided to us, i recommend you perform a Full Rhinoplasty, includding narrowing of the nasal base, with nasal bones treatment, and alar and triangular nasal cartilages shaping.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-