In order to narrow the nose, is tip refinement and alarplasty enough for my Asian nose? (Photos)

Based on your photos, you are a great candidate for rhinoplasty. Tip rhinoplasty and alar reduction would certainly make a nice improvement. And while it is your choice to work on the bridge, a graft to raise it a bit would also make the nose look more narrow and balanced because the bridge is a little washed out right now. Be sure to see a rhinoplasty expert for consultation.

It would be possible to reshape your ala and tip to create a balanced nose, but alarplasty in isolation would lead to the tip looking proportionally bigger relative to your narrowed nostrils. Your tip would also need some additional projection, and your columella is mildly retracted at the moment. Those are aspects your surgeon should address during your procedure.

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. A surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

A lot of times my asian patients only need a tipplasty and alarplasty. In your case that will achieve what you are looking for. You can also do it piece meal with alarplasty only or tip only and later the other part.
Regards
Dr. Janjua

A narrower nose without changing the nasal bridge or overall structure, alarplasty alone can often be an effective option. This procedure focuses on reducing the width of the nostrils by removing a small amount of tissue at the alar crease and inside the nostril, allowing for a natural-looking narrowing with minimal downtime. If your main concern is alar flaring or overall nostril width, alarplasty should provide noticeable improvement while keeping the rest of your nose unchanged. Tip refinement can be added if additional definition is needed, but it is not always necessary depending on your anatomy and goals.