Your nose will have a more attractive profile and greater refinement from frontal view with some bridge augmentation and tip refinement. I would strongly recommend using tissue from your own body as this will create the safest, permanent and I feel, the most attractive result. Silicone is less than ideal for its temporary nature, high risk of complications, and un-natural contours it can create over time.
By building up and projecting and refining the tip and bridge of your nose, you will be able to achieve the look you seek without shaving the nasal bones.
REFINING A FAT NOSE WITH RHINOPLASTY
Dear alexS96, Your nasal width can be refined with rhinoplasty surgery. Seek some consultations with experts in the field and have imaging performed to show you the proposed changes taking into consideration your nasal anatomy and skin thickness. This will give you a very good idea of the changes that can be achieved through rhinoplasty. Best regards, Michael V. Elam, M.D.
Nose is too fat?
Every nose is
different and unique to that individual. If the appearance of your nose
concerns you enough to do something about it, it can be improved with a natural
artistically performed rhinoplasty. What would be the best option and exact
procedure would depend on an in person examination (not just an online
consultation) and discussion about desired outcome. Excellent results can
be achieved with either a closed or open technique.
Keep in mind that following advice from a surgeon on this or any other website
who proposes to tell you exactly what to do and how technically to do
it based on two dimensional photos without examining you, physically
feeling your 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. Natural appearing results need to be individualized
and what is appropriate for one patient is not necessarily the best for someone
else. I would suggest that you find a surgeon with extensive rhinoplasty
experience certified by the American Board of Plastic Surgery and one who is
ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS).
You should discuss your concerns with that surgeon in person.
Robert Singer, M.D., FACS
La Jolla, California