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

Question

Ok so I've always hated my nose. It's super wide (especially when i smile OH GOD), no definition whatsoever, and the tip is beyond bulbous. I was wondering what procedures would be recommended to fix my nose? Cause I also have a really small eyes and wide, flat face with no definition, so I don't want to make my new nose make me look even worse. Thanks in advance!

Toby Mayer, MD · Answer

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.

Thomas A. Lamperti, MD · Answer

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.

Robert Singer, MD · Answer

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

William Portuese, MD · Answer

Closed rhinoplasty techniques  can narrow the nose and bulbous tip. To narrow the bulbous-tip requires suture techniques applied to the lower lateral cartilages. Osteotomies of the nasal bones are required  narrow the bridge line. An alar-plasty is required  to narrow wide  nostrils.

Brian Windle, MD (retired) · Answer

Congratulations on making a decision to move ahead with
doing something about a problem that you do not like and can be fixed.  A rhinoplasty or nose job would solve the
wide nose that you.  Asian rhinoplasties
are slightly more complex because you nose cartilage is a little more soft and
friable than some others but it is certainly possible to get a very good
result, just like you are looking for. 
Exactly what needs to done is impossible to tell without seeing
you.  I would encourage to schedule a
session with someone and come up with a strategy that fits your goals.  I have added a video that talks about
recovery from a rhinoplasty.

I hope that helps.

Best regards.

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

Answers (5)

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