Nostril reduction alone can be done and is performed on many patients. However, most people with larger nostrils require a reduction in the broadness of the tip as well. It is hard to tell from your photographs if the nostril reduction alone would benefit you. But from what I can see, it appears that reducing your nostrils without also working to diminish the width of your nasal tip, would result in a nose without proper balance. An examination by a good plastic surgeon will be necessary.
It is difficult to give you precise advice based on the photographs provided. In general, it is possible to perform a nostril reduction only. Associated risks with alar base reduction include but are not limited to the following:
Having the procedure performed by a board certified and experienced surgeon who uses a meticulous technique greatly reduces the chance of any risks occurring and leads to a fantastic outcome. Cost can vary depending on the complexity of the procedure and geographic location. I hope this information helps, and I wish you the best of luck.
Thank you for your question. It is difficult to make a specific recommendation for you from your photograph, but in general it is definitely possible to have the nostril size reduced and improve the asymmetry without changing the rest of the nose. This would involve making a carefully placed incision on the nostril and taking out a portion of the skin. Sometimes this can be done under local anesthesia in the office (without going to the operating room).
A consultation with a rhinoplasty specialist would give you a better idea of what is involved and what the costs are.
You can certainly reduce the size of your nostrils and improve the size discrepancy.
Kenneth Hughes, MD
Los Angeles, CA