How to fix wide bulbous nose on a wide face? (photos)

Improving the nostril width and refining a flaring bulbous tip are
frequent requests of patients wanting nasal refinement. It is possible to
improve the cosmetic appearance of the tip alone without altering the rest of
the nose in some patients. Whether the optimal option in your particular
situation would be a tip rhinoplasty alone or a full rhinoplasty would best be
determined at a consultation. Either procedure can be performed with a closed
or open approach.

Following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do based on limited
2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla,California

 You're wide bulbous tip can be refined as well as balancing the nose with a slight reduction of the nasal hum[. This should be done in a natural fashion to avoid the operated look.  Choose a very experienced rhinoplasty surgeon for this,  who does natural looking noses.

There are several options when it comes to address tip fullness and excess width. The actual treatment methods used depend a bit on your anatomy which is best determined after an in person examination. You can read more about this type of treatment (and see some before and after photos) at my web reference link below.Alar base reduction is a good way to reduce the actual width of the nostrils. This involves bringing the ala inward so they don't extend as far to the side.