Rhinoplasty to increase nose size and change nostril shape? (photos)

It is considered at times
appropriate for a doctor to introduce the concept of a chin augmentation during
a rhinoplasty consult [since the nose always is seen based on its relationship
to the facial plane and the chin can dramatically affect the appearance of the
nose especially on profile]. However, it is not appropriate for the doctor to
suggest a rhinoplasty until the patient brings up the subject. It is a much
more involved and expensive a procedure. Since you are not anxious to change
your nose, I suggest you not have this sophisticated procedure at this
time...do your research and choose the surgeon wisely.
In regard to any eventual nose surgery, I can tell
you that the best treatment of a small Asian nose like yours would be to
1] Have a dorsal augmentation (build up your
bridge). Silicone does work well in the Asian population yet perhaps the best
material is your own septal cartilage and, if that is not sufficient; a rib or
bone graft can be used...I also consider Bone Bank Allograft since we have data
that it lasts and there is no donor site pain, etc.
2]
Increase projection of the tip so that it breaks away in a defined manner from
the new and higher bridge
3]
Consider nostril narrowing; yet just the increase in the projection of the
bridge and tip will secondarily narrow the nostrils...and perhaps enough to
avoid the scar of nostril reduction.
I choose
a closed approach for these procedures which avoids a scar on the columella yet
the approach is not as important as the aesthetic eye and skills of the
surgeon. I wish you success.

Thank you for the question and photos.  The first part is whether this is something that you are ready for or willing to proceed with.  I would encourage you to only go forward with the rhinoplasty when you are ready.  no bridges are burned in getting the chin implant only.  In terms of the options for rhinoplasty there are really on two:alloplastic (synthetic) implantyour own cartilageThe second option is more work for the surgeon but much less chance for problems such as infection and implant extrusion, etc.  Once the cartilage has healed it will be part of your new nose.  Both of these options require an "open" approach.  A closed approach is possible for the bridge of the nose in terms of adding diced cartilage but you will also need a columella strut to build out the columella and support the tip.All the best,Dr. Remus Repta