Can yawning or flaring your nostrils change your nose?

  Removal of a dorsal hump with infracture to close the open roof may make the tip appear larger, but the tip itself can remain unchanged.Kenneth Hughes, MDLos Angeles, CA

In short, yes, a tip-only nose surgery can be done with local anesthesia only. However, this still requires a safe, sterile, operating room.  In addition, patients who select surgery with local anesthesia only must understand that a well-executed operation requires the patient to be still...

The septal cartilage is somewhat elastic and cannot be pushed back into the midline.  The only way to correct a deviated septum is with surgery.   A septoplasty is most commonly performed through the nostril (the closed approach) and is completely visualized during surgery.

Splints or casts are typically left in place for 5-7 days after any nasal procedure involving bony work.

        An upturned nose can be lengthened with cartilage grafts. Nostrils can be reduced through any number of maneuvers depending upon the dimensions that need reduction.Kenneth Hughes, MDLos Angeles, CA