I like my nose but would like smaller nostrils - what can be done? (Photos)

Good Morning! You can certainly change the width of your nostrils and not perform any rhinoplasty to change the shape of the rest of your nose. I refer to this as an alar base reduction. An incision is made on the underside of the nostril and a pre-determined amount of skin is removed. The wound is sutured and the results can be quite nice. If you want more definition on the front view, then further intervention in the form of a rhinoplasty would be needed. You could refine the tip and raise the bridge to create narrowness on the front view. Hope this helps!

Because changing one aspect of your nose changes the proportions of the rest of the nose, we generally recommend to patients that the nose be approached wholistically. In your case, your nostrils are somewhat wide, and this can be addressed by performing Weir excisions to move the lateral ala medially on either side, with the incisions hidden in the alar crease and inside the nostril. But additionally, you have a low nasal dorsum that could be elevated by placing either a nasal implant, an autogenous cartilage graft from one of your own ribs, or sterilized cadaveric rib. Your bulbous nasal tip, which is what makes you think your face lacks definition, could be refined by trimming and suturing the lower lateral nasal cartilages, and overlaying this with cartilage grafts from your nasal septum and conchal cartilage. We would perform all of these maneuvers with an open rhinoplasty technique that allows us to expose the entire osseocartilaginous framework of the nose via an incision placed inside each of the nostrils and across the columella. Most of this incision is invisible to the observer, and the small inverted v scar on the columella tends to heal quite inconspicuously.

Are you a good candidate for a rhinoplasty?
You used the word “need“. Obviously, since this is cosmetic surgery no one “needs “ a Rhinoplasty. But, by the textbooks of aesthetics it appears that your bridge is wide, your tip is slightly bulbous, and your nostrils are wide. A standard Rhinoplasty would address these issues. It however your tip and bridge do not bother you and you only want to narrow the nostrils, there is a procedure called a nostril tuck which can be down under local anesthesia in the office. But if you wanted a thinner nose in the front view including the bridge and tip as well as the nostrils, then that would be achieved by a traditional rhinoplasty.