Rhinoplasty, alar base reduction. Would I need open or closed rhino for the results I'm seeking? (Photo)

Yes these changes can be made in closed fashion. There is no one nose or set of features that typifies a certain ethnicity. There is a great deal of diversity in individual noses. Find a surgeon who demonstrates vast experience in transforming many types of noses.Kenneth Hughes, MDBeverly Hills, CA

Single dimensional images can be deceiving and I would urge caution in accepting surgical recommendations as promises. Physicians will need to examine and to talk with you about your concerns before deciding, with you, which techniques to perform.  Discuss not only the desired results but also the implied trade-offs, if any. Ask to view pre and post op photos of patients in which he/she has performed the manuevers that may be applicable to you. Ask which techniques, in the surgeon's experience, would likely help you to realize the results sought, rather than limiting him/her by  insisting on a technique from the surgeon. 

Thank you very much for the questions.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, After having analyzed all the info. and photos provided to us, i recommend you perform an Open Full Rhinoplasty, includding narrowing of the nasal base and nostrils, with nasal bones treatment (controled fracture) and alar + triangular nasal cartilages re-shaping.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol.-

It's difficult based on the pictures submitted to give a completely detailed answer. That said, an open rhinoplasty with alar base resections and cartilage grafts would allow for a better dorsum, tip definition and more narrow alar bases. Obtain a consultation with a board certified plastic surgeon for an evaluation and discussion of surgical options.

Ethnic Rhinoplasty can be complicated and requires proper evaluation, discussion of options/expectations and structural nasal reshaping techniques.Open and structural closed rhinoplasty can both meet your goals of refining your nose.  A successful rhinoplasty can be described as a nose that harmonizes with the rest of your face.  Based on your question and pictures provided, I recommend refining your tip with structural cartilage grafting and nostril narrowing.  You could possibly benefit from nasal dorsum augmentation; however, I recommend seeking out a board certified facial plastic & reconstructive surgeon to discuss all your options and formulate a plan.