Alarplasty or Tip Plasty? (photo)

             Refinement of the tip will make the most significant change in your nose.  Alar base reduction can be contemplated but will have to be conservative.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

  A rhinoplasty  can narrow the tip with  suturing techniques of the lower lateral cartilages to refine and narrow the tip. A cartilaginous strut graft may be required as well. No synthetic implants would be required. A very conservative alar-plasty can also be  performed.

As best I can tell after reviewing your pictures an alarplasty with narrowing the base of your nose will not be necessary. I would narrow your tip by changing the contour of your tip cartilages and probably use cartilage grafts because weak cartilage are common in in people with your ethnic background. I have avoided the use of synthetic materials such as silicone for over 35 years.