What Can Be Done to Reduce the Size of a Long Hook Nose? (photo)

You have already done some research obviously.  Yes, the dorsal hump needs to be eliminated (rasping and osteotomies) and the tip rotated up by trimming the tip cartilages.  This shortens the nose.  But this does not really involve the anterior nasal spine.  I prefer a closed approach, keeping the incisions on the inside of the nose where they cannot be seen.  Yes, an experienced plastic surgeon can combine these maneuvers.  Lifting the tip can make the upper lip appear longer, which is useful for those with a short upper lip.  There is a good example on my website, patient M.L.  I've attached a link.

Hello,A closed rhinoplasty is the best option for all of these procedures. By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling. All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

I would agree with your general description of what might be done to improve the appearance of your nose. However, as noted, the nasal spine would not be a real consideration in terms of rotating the tip and changing the tip projection. Instead, the emphasis would be more on repositioning and reshaping the lower lateral cartilages to achieve the desired goal. Your upper lip would likely be more visible afterwards, giving the illusion that it is longer. You could also have the bump reduced to give the profile a straighter appearance. I would highly recommend you find a board certified facial plastic surgeon who is experienced in this type of rhinoplasty work. I have included a link below to give you more information on this type of cosmetic nose reshaping. Happy healing.