Is It Possible to Reduce a Very Large Nose to Significantly Smaller Nose?

Doctor Answers 9

Making a large nose smaller

Dear Alex,

What you need is a reduction rhinoplasty. Reduction rhinoplasty is the medical term used to describe nasal surgery planned to reduce the overall size of the nose. When Ii talk to my patients about cosmetic nasal surgery, specifically reduction rhinoplasty, I tell them that the nose should be addressed in three specific areas: the nasal hump, the tip area, and the width of the nose.
Most patients interested in nose job, want the "bump" on their nose to be taken down. This typically refers to the nasal dorsum. Other patients want to reduce the size of nasal tips that are too far from their faces. And there are some who are interested in reducing the width of their nose.
To address these changes and to maintain proper nasal proportion your surgeon should help you to understand how the nose and cartilage are modified and reshaped to create the desired shape. This not only helps to improve the appearance of the nose, but also restores self-confidence you deserve.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Reducing a very large nose to a smaller nose

It is possible to reduce the size of a very large bulbous nose. However, it will always be a rather large nose if you cannot keep the nose in balance. There is just so far one can go to improve the tip projection and bulbousness and the thickness of skin with while keeping it looking natural.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Rhinoplasty for a large nose

Dear Alex9871,  Certainly, the traditional approach to reshaping a nose with rhinoplasty concentrated on making the nose smaller.   Consider these ideas:

  1. The nuances of rhinoplasty include considering keeping your nose functioning well while making the appropriate changes to the nose shape.
  2. Just making your nose smaller may not be ideal because the nose must be in balance with your face and other features.  There very well may be areas of your nose that need contouring, but not smaller to help make your features more proportionate
  3. The best way to understand what your options are for changing your nose is to schedule a consultation with a facial plastic surgeon or plastic surgeon.  

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Reducing the size of the nose.

The answer to your question is yes, but there obviously is a limit to the amount of shrinkage the skin  of the nose will be able to accomplish.  The size of a nose is dependent on other facial proportions and is best sized to fit in with the rest of your facial features. That said, you would be surprised at how much smaller a nose can actually be made.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 109 reviews

Reducing Size of Nose with Rhinoplasty

Hi Alex9871,

Yes, rhinoplasty can reduce the size of the nose. Rhinoplasty is not one operation, but rather many potential procedures to improve the appearance and function of the nose. Generally, plastic surgeons don't make the nose too small, but rather better proportioned with the rest of the face. Only after a comprehensive evaluation can a rhinoplasty surgeon help determine appropriate options for you. Best of luck.

Dr. Chaboki

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Larger nose to smaller nose is possible.

There is no question a large nose can be made significantly smaller but there are limitations.  2 of the most important factors are the skin thickness and the patients age.  The solid framework of the nose (ie, the bone and cartiledge) can be reduced but the skin may not redrape and retract enough to give a good contour.  Over reducing the nose to make it small, may create poor nasal / facial balance.  Instead of focusing on size as an end result, an excellant shape which is harmonious with your facial balance may be most satisfying.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 99 reviews


It is certainly possible to reduce a large nose to make it smaller but it is very important to have a proper analysis via an exam.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Reduction Rhinoplasty

Hi Alex,

Yes, with reduction rhinoplasty, a very large nose can be made significantly smaller.  Most importantly choose your rhinoplasty surgeon very carefully.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Reducing the size of a large nose

Making a large nose smaller is one of the most common things done during rhinoplasty. How much of a change can be made depends on several factors, including your skin thickness and age. Although we can make the underlying structure of your nose quite a bit smaller, the overlying skin must redrape, or shrink-wrap around this new structure.

If the nose is over-reduced, you'd end up with an ill-defined nose (due to the excess skin) that may look worse than your original nose. We must balance the amount of nasal reduction with maintaining adequate support of the skin envelope. The assessment of how much smaller your nose can be made can be done during an examination. I use computer imaging to give my patients an idea of how much smaller the nose can safely be made. It's also important to assess the projection of the chin as an underprojected chin will exagerate the size of the nose.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.