Nose is Too Wide and Fat for my Face? Rhinoplasty Options? (photo)

I certainly understand what you are talking about.  You would get great improvements with a rhinoplasty to narrow the tip and nasal bones.  The width of the nostrils can also be addressed.  The only problem is that your skin is somewhat thick, which may limit the amount of fine detail achievable, but overall you are an excellent candidate.

Thanks for the photos and question. Your nasal hump could be removed during rhinoplasty with either rasping (filing) or a straight osteotome. The nasal bones could then be narrowed with lateral osteotomies, which are little controlled fractures made on each side of the nose. As for refinement of your nasal tip, I use a combination of suture techniques and cartilage grafts (take from your septum) to reshape the lower lateral cartilages in a way which maintains their structural integrity but narrows the underlying framework of your nose. This structural approach increases the predictability of your results and helps to prevent issues such as pinching or retraction of your nostrils. The tip can be raised with techniques such as a septocolumellar suture, a tongue-in-groove technique, shortening of your septum, or overlapping of your tip cartilages. Lastly, the nostrils could be reduced with Weir excisions. The thickness of your skin will be an important consideration during your consultation. 

In my practice, I generally favor an open rhinoplasty approach over an endonasal (closed) approach when there is significant tip work to be done. In my opinion, he trade-off of a tiny, inverted-V incision between the nostrils which heals beautifully and inconspicuously is worth the added benefit of increased visualization of your tip cartilages. I'd also recommend computer imaging, so that you can get a "sneak preview" of your new nose during the consultation. This exercise is a nice opportunity to communicate your aesthetic desires to your surgeon and for him or her to let you know what's realistic and well-balanced with your other features. 

My practice is not too far from you, in the SF Bay Area. In Southern CA, I would recommend Dr. Andrew Frankel. The price for a cosmetic rhinoplasty is usually in the $7-10 K range though if you have any medical issues (deviated septum, difficulty breathing, large turbinates, narrow valves), much of the cost of your surgery could be reduced by insurance coverage. 

Best regards,

Dr. Mehta

Rhinoplasty for the wide nose, with a hump and drooping tip involves removal of the bump, refining the tip, narrowing your nasal bones and base. For 35 years I have pioneered the open approach for most complex noses. The cost is $7500 to $10,000.