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 5


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.

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 175 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
4.7 out of 5 stars 32 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 79 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

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.