Best surgical approach to make my nose smaller around the bottom?

Your nose is beautiful. I would not recommend any surgery at all although that is only based on one view you showed

Hello and thank you for your question. Just to clarify, if you're talking about your nasal tip, this is a common complaint and something that can definitely be addressed with surgery. Many people complain that their nasal tip is too "bulbous" or "boxy" and that they would like it to be smaller, cuter, more defined, or more feminine. An open rhinoplasty can best address the entire nose, and is particularly effective for addressing a bulbous or boxy nasal tip and performing complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. If this is a significant area of concern, I would definitely say it is worth it- I have seen so many patients who comment on how much happier they are with their appearance and how much more confident they feel in all aspects of daily life!
Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from just photos. I recommend for you to come see me or another plastic surgeon comfortable with rhinoplasty procedures for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Hello,
Thank you for your question. There are many effective maneuvers to narrow the tip (cephalic trim, tip suturing, etc) and the actual nostril width can be adjusted as well. This can be done using the closed / scarless approach. I wish you all the best.
Mark G. Albert, M.D., F.A.C.S.New York, NY

Hello Alexandria. You have flaring of the nostrils which makes your nostrils appear too "open"! My approach would be to reduce the alar walls and not the nasal floors. This would reduce the flaring and decrease the amount of nostril "show" but not decrease the external valves or actual openings, which could cause some degree of nasal obstruction.

Rhinoplasty can enhance nasal profile including narrowing the tip. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

It would be very difficult to give you any meaningful advise based on this photo. In person or at least teleconference consultation is needed to evaluate you and propose options. Good luck.

It's on your single photo, you appear to have a slightly wide appearance in your bridge and tip, and this may be associated with a deviated nasal septum to the left side. If you have severe dissatisfaction with the appearance of your nose for many years, rhinoplasty may be worth considering. If the appearance of your nose doesn't bother you that much, sometimes it's best to leave things alone. I hope this helps! Sincerely, Dr Joseph

Hello! Thank you for your question. From the photo you provided I can say that your nose tip is small already. With rhinoplasty surgery it might be a smaller but it is a small change. It would be more convenient to decide with face-to-face consultation. Best Regards!

A full set of facial photographs from all angles are are required to make a determination, since the nose is a three-dimensional structure. An alar plasty is performed to narrow wide nostrils. Conservative cartilage removal is performed to narrow a bulbous nasal tip. Osteotomies placed in the nasal bones narrow the bridge line. All of this can be accomplished with the closed rhinoplasty approach, with all of the incisions placed on the inside.

Certainly an in person exam is necessary, but to make the tip smaller and less full I would recommend a Rhinoplasty that can focus on the specific areas. Often Rhinoplasty is performed for finesse to provide subtle changes. During my consultation process I discussed yesterday goals and also perform a simulation. Good luck !

Kailash Narasimhan, MD