Thank you for the photos and question and at a consultation aided by digital photography and your input, you will become totally informed what changes can be done to your nose..So see some experts in your area.
Based on your photos, it will be possible to achieve significant refinement to the tip of your nose using grafts fashioned from cartilage inside your nose (septum) and possibly one of your ears. Simply "cutting fat" from the tip of the nose will not provide the structure and support your nose needs to show definition through your skin. Sometimes removing tip cartilage alone in an attempt to refine the nose will cause the nose to appear more bulbous, due to the lack of support.
Most patients will take 10-14 days off of work or school. After 4-6 weeks enough swelling will have resolved for your nose to start looking smaller and refined than it does now, and the majority of swelling will resolve in 3-6 months.
Of course no surgeon can tell you exactly what will be done without an examination. That said, probably some fat removal and some suturing of the tip cartilages to narrow the tip. Also, you might need a cartilage graft to the tip to give it more definition. The tip retains fluid for 6 mos or so, but you should look reasonable in 2 mos. No one will notice it anyway....an interesting fact. I have attached a link for your review. The patient had some augmentation to her nose also, but look specifically at her tip.
There are several techniques used to improve the tip in Asian rhinoplasty. You would benefit from an in person evaluation with a board certified facial plastic surgeon with expertise in Asian rhinoplasty.
I think that you likely would have improvement in the nasal tip by reducing its bulbosity. Best of luck.
The tip should be de-fatted and cartilage grafting performed to the tip to give more structure. The cartilage is typically taken from the septum. It takes about 7 days for immediate post-op recovery.
It is possible to get tip plasty and Asian nose without changing the remaining nose. In case with large cartilages in the nasal tip such as your case as seen in the photograph the results are very good. Reducing the cartilages gives definition to the nasal tip without affecting the rest of the nose and its profile. Majority of the swelling should be gone within 1 month. Recovery is very fast and you should be able to get back to school or work within 1 week.This can also be done under local anesthesia without the need for general anesthesia.
Thank you very much for sharing your concerns with us.
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, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.
With this procedure you get a delicate nose, better harmonize with your other facial features.
Dr. Emmanuel Mallol Cotes.-