Alarplasty suitability and tip reduction opinions in UK please? (photo)

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  Based on your photograph, you may benefit from a tip
refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing,
and reshaping the cartilage in your lower nose.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and not just a computer animation
system. The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

 

This is a highly complex question that needs assessment by seeing an experienced Rhinoplasty surgeon in person. Yes the closed approach is better in my opinion and in my hands. However many surgeons would use the open approach with good effect. 

 Dear Tom,

 youvwill definatly benifit with alar plasty

 i will suggest to go with tip plasty also  as  narrowed alae   without narrowing tip will not give so good result.

  one can do tip reduction by open method or close method it depends on surgeons comfort level

 best of luck

 Dr Milan Doshi