Do I need a major Rhinoplasty? Wanted to shorten bridge and tip. Do I need a nostril reduction as well? (photos)

I am thinking of getting rhinopastly because I have a high nose bridge. I realize the nose tip also sticks out too far out. Will my nose tip become wide and unrecognizeable? Do i need a nosetril reduction if they make the tip a lot shorter? Is this a simple procedure or major one that cost a lot of extra money?

Doctor Answers 6

An in-person consultation is necessary to evaluate your nose anatomy.

Thank you for your question. It isn’t possible to accurately identify which procedure may be suitable for you from the photos provided, as they do not show your nose from every angle. Aside from this, it’s best to meet face to face with a plastic surgeon before deciding on a course of action, as this allows both of you to discuss requirements and exactly what would be involved should you go ahead. Choosing a board-certified surgeon with plenty of rhinoplasty experience would be your best option for getting an informed opinion on what could be done.

Eugene Plastic Surgeon
4.7 out of 5 stars 16 reviews


To lower your bridge height and reshape your tip that would be considered a 'major' rhinoplasty since it treats the whole nose. As the tip is shortened it could also be narrowed so it would not end up looking wider.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Closed rhinoplasty, some advices:

Thank you very much for sharing your concerns with us.

The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.

In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.
With this procedure you get a delicate nose, better harmonize with your other facial features.

Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 270 reviews

Conservative rhinoplasty for a natural result.

Conservative rhinoplasty for a natural result And not the overdone look is what u need. Look for a surgeon who does noses like yours and all of his noses look natural. Do NOT rely on imaging!

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews


Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from a cephalic rotation of your tip to turn up your tip slightly and a conservative dorsal hump reduction.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 131 reviews

Do I need a major Rhinoplasty? Wanted to shorten bridge and tip. Do I need a nostril reduction as well?

In order to evaluate your photos most accurately- all views of the nose would be helpful. With that said - looking at your profile and comparing it to your wish pic- it appears to be a realistic expectation. A complete Rhinoplasty would be necessary in order to address all of the elements of the nose. I would utilize a closed Rhinoplasty technique- without leaving a scar on your columella. In the right hands- you should expect a very pleasing outcome.It is a very precise operation and has to be performed by an Expert. Be sure to seek an experienced Board Certified PS with extensive experience in Rhinoplasty and a wide gallery of before and after photos

Thomas Trevisani, Sr., MD
Orlando Plastic Surgeon
4.9 out of 5 stars 64 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.