Is It Possible to Fix Wide, Pig-like Nose?

The nose you describe is typical of many asian patients. However, many different patients of varied ethnicities have issues like the ones you describe. African american, Latin American, Filipino, and many other ethnicities can have this type of architecture.
A 'narrow' nose is one which has deep shadows along the sides of the nose and a nice highlight in the center. In order to provide this, the nose has to have a certain height. If the nose is too flat, then it gets washed out and does not have the contrast to appear narrow.
Typically, cartilage grafts and, occasionally, silicone grafts, are used to establish this height. Which one you would need depends on your individual anatomy and personal goals. This is true for both the tip and the dorsum (upper 2/3 of the nose).
Hope it helps you feel more confident that you can achieve the look you are seeking.
Best of luck.
A representative before and after has been posted to my profile. Feel free to look at it. Hope it is helpful.

It’s not unusual for Asian patients to have many of the nasal characteristics that you describe. Asian patients often have rounded nostrils, flat nasal bridges, short nasal length, and an upward tilt of the nasal tip. When these anatomic findings are combined they make Asian rhinoplasty one of the more significant challenges in plastic surgery.
                Unfortunately, without pictures or a physical examination it’s virtually impossible to make specific recommendations in your case. In general terms, the nasal dorsum can be lengthened and augmented with cartilage and bone grafting techniques. The nasal tip can be remolded with a variety of techniques that are designed to reshape the lower lateral cartilages.

                If you’re considering correction of this type of problem, it’s important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic finding and achieves your aesthetic goals. 

An ethnic shaped nose such as you describe can be reshaped with rhinoplasty but the rhinoplasty surgeon MUST have vast experience and expertise in Asian rhinoplasty.  It is important that you consult with a board certified plastic surgeon or board certified facial plastic surgeon with extensive experience in this type of surgery.  Ask to see before and after photos of their own patients.  The rhinoplasty surgeon should also have substantial knowledge of nasal anatomy.  You want your first rhinoplasty to be your only rhinoplasty and these qualities in a rhinoplasty surgeon are essential.

There are a variety of options. As you have stated the majority of caucasian noses undergo reduction rhinoplasty (reduced size) whereas you are describing an augmentation rhinoplasty enlarged size). This frequently necesstitates grafts which may require a rib or ear carilage donor site.

It is difficult to obtain significant tip narrowing and projection in some Asian noses. This is usually due to thick skin, and relatively weak tip cartilages. Your septal cartilage may be short and weak as well which is limiting when grafts are considered to refine, and project your tip. You should consult several board-certified, experienced Rhinoplasty specialists with many photos if you'd like to proceed with a nose job.
Would you be happy if your nostrils were lowered on your front view? I've had excellent success using Silikon-1000 for permanent results. I've attached a link to my Non-Surgical Rhinoplasty photos for your perusal; many photos demonstrate nostril lowering.
I hope this is helpful for you.

Hi Change,
It is possible to improve the appearance of your wide nose and unattractive(ly described at least) nostrils. An experienced and skilled rhinoplasty surgeon will be able to diagnose your deformity after examining your nose, and then explain to you what you can expect from corrective rhinoplasty. Do choose your rhinoplasty surgeon most carefully.
Good luck and be well.
Dr. P

There is no such thing as a "typical" Asian nose. However, a more common finding is a low bridge and soft high nasal tip. This can be improved by placing a small implant on the bridge. More tip definition is achieved by strengthening the tip cartilages with sutures and grafts with cartilage from your own septum. These maneuvers can also make the nostrils less visible from the front.  It is important to create subtle changes so the nose still maintains its ethnicity.

Hi Changenose,
What you are describing is not uncommon. The "bridge" of your nose needs augmentation, rather than reduction as in most rhinoplasties. The tip also needs more projection. All these things can be accomplished with harvesting cartilages from yourself (nose, ear), as is done in many Asian noses.

It is impossible to give a consultation regarding your Asian rhinoplasty without seeing your pictures. If your nostrils are showing from the front, the nose tip can be brought down to prevent the pig-like appearance. A low bridge on the Asian nose can be augmented with a silicone silastic implant. The width and roundness will decrease as the height of the bridge is increased.

Yes, your nose can be fixed. The degree of change which would be possible depends on your anatomy and your goals. Asian noses often have low dorsums (where a bump is usually found on many people), which may require a graft. In addition, the tip is usually broad, and this can be refined by suturing cartilage together. In Los Angeles, you should be able to find a plastic surgeon or ENT who has experience with Asian noses, and who could show you photographs during the consultation. Be sure to ask specifically about Asian rhinoplasty when you begin calling surgeons. Good luck, /nsn.