How can the distance between the tip of the nose and where the nostril touches the face be improved?

Thank you for your question. During a rhinoplasty procedure, the nostrils can be narrowed or the nasal projection addressed to improve the appearance of the area you describe. Rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. Because of this, I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to answer your questions more in-depth and provide advice on what steps may be required for your specific situation.

The nostrils are one of the last things addressed during rhinoplasty surgery because alterations in the tip may change the shape of the nostrils. When evaluating the nostrils, the surgeon will assess whether there is flaring of the nostril and if the nostril size is too large. If the nostril is bulging outward, then a portion of the nostril is removed where the nostril meets the face. If the nostril is too large, a portion is removed along the bottom of the nostril. If both are present, then both techniques are combined.

Reducing nasal tip projection:If you are talking about the distance from the upper lip out to the tip of the nose you are talking about nasal tip projection if you are talking about the distance across the base of the nose from one nostril to the other you were talking about nostril base. Nasal tip projection is reduced by a number of maneuvers which involve trimming the lower lateral Cartilages which comprise the tip. the domes are trimmed. the lateral wings can be trimmed, and the Foot plates of the medial crura of the columella can be trimmed. The columella is the strut between the two nostrils and acts like the pole of a tent. To reduce the height of the tent must reduce the length of the pole. If you wish to reduce the width of the nostrils then an alarplasty or alar base resection can be performed. In some cases both reduction of projection and width are performed during rhinoplasty.