Nose look shortened and the tip is swollen after Alarplasty & Tip Plasty. (photo)

The best course of action is to allow the healing process to be completed. At that point you can truly asses the nose and whether or not any further surgery is needed.

  You reduced the nostrils, which is possible with an alar base reduction.  You also reduced the bulbous nature of the tip, which can only be improved with a tip plasty.  This can be done in closed fashion at the same time as the alar base reduction.Kenneth Hughes, MDLos Angeles, CA

2 mm of alar base reduction on each side we'll not give an appreciable improvement in the wide nostrils. 3-4 mm would be more appropriate since there is a small amount of skin stretch back.