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

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

The rhinoplasty procedure would involve tilting the tip upwards with tip suturing techniques, cartilage removal, and dorsal hump removal.  Once the hump is removed, osteotomies will have to be performed to narrow the nasal bones.  These will all be done at the same time with a closed rhinoplasty approach.  Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.  It is important not to remove the anterior nasal spine since this will just create more of a downward projection of the nose.

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.