Rhinoplasty That Only Involves Working with the Skin?

 Usually when we do Asian noses there is not a need to break the bones. We normally will thin the tip skin and place cartilage and soft tissue grafts in the tip an d bridge to augment the shape of the nose.

Rhinoplasty is a sculpting of both cartilage and bone and is not skin surgery. Removing thick skin on the nose is impossible to do. There is no way to thin down thick, oily, sebaceous skin. Any removal of thick skin would involve having to make an external incision on the outside of the nose, which would be unacceptable.

You can remove the skin around the sides of your nose by your nostrils to make them look less wide in this area. But if you want to make the tip smaller and the nasal bridge smaller, it will take a formal rhinoplasty. This at times will entail breaking the bones to narrow the bridge. Thicker skin near the tip area of your nose makes a little harder to narrow the nasal tip. Some people reduce the skin from the inside to make the tip more refined, but this is not a safe procedure many times especially when your nose is done in an open fashion.
An open rhinoplasty entails making a incision under your nose to elevate the nasal skin envelope to directly work on the nasal structure under direct vision. Asian rhinoplasty / cosmetic surgery is unique and you should go to someone who has experience with the Asian nose.