Can I get fat removed from my nose?

Hi Z2005, without a photo it is difficult to discuss. The nose is an amazing structure in that the shape is mostly the result of the underlying bony and cartilaginous structure. Like a house, the framework or superstructure of the nose directly determines it's look or architecture; it's form and function. Thicker skin can affect shape and is typically found in oilier skin types; while conservative subcutaneous thinning can help, the shape is changed by modifying the underlying framework. So there is no real fat in the nose to speak of but thicker skin that can aggravate the lack of structural support or distortions, resulting in a poorly shaped nose. Communication of expectations and changes that are possible with nasal surgery is critical, as in all of plastic surgery. We have a Vectra 3D imager in our office that is a great communication tool that shows you what your surgery can look like with rhinoplasty. It is important that your surgeon be experienced in rhinoplasty but able to listen carefully to your concerns. 

Narrowing a nose usually requires modifying the underlying framework of bone and/or cartilage, not removing fat.Keep in mind that following the advice from
a surgeon on this or any other website who proposes to tell you what to do
without seeing photos and without examining you, physically feeling the tissue, assessing your desired
outcome, taking a full medical history, and discussing the pros and cons of
each operative procedure would not be in your best interest. I would suggest
you find a plastic surgeon certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or facial plastic surgeon (ENT) that you trust and are comfortable with. You
should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California