What procedures could produce this rhinoplasty result? (Photos)

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. A surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hi There. Yes, this is a reasonable goal to pursue. A combination of tip refinement, cartilage shaving (cephalic trim), alar base resection, and narrowing of the nasal vault (osteotomy) should help achieve a good outcome.

There is no particular technique for artfully narrowing somebody's nasal tip appearance, especially when they have thin nasal skin, like you appear to have. We all have our own recipes for dealing with these issues, and at least partially, they has to do with removing some of the excessive tip cartilage that is causing your tip to appear wide. If you have severe dissatisfaction with the appearance of your nose, please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you can see what to expect. I hope this helps! Sincerely, Dr Joseph

The base of your nose is wide so you will need alar narrowing. This is done by cutting a wedge out inside the nostril. The tip needs to be refined and this is done by using the sutures to pull the cartilage together at the junction of the medial crura. This surgery takes less than 2 hours to perform under general anesthesia and costs $8,000.

Best Wishes,

Gary Horndeski, M.D.

It looks as though the two cartilages that form the tip of your nose are strong, and they make the tip look wide. Narrowing those cartilages can be accomplished in a rhinoplasty, with some reasonable predictability, in expert hands. The woman whose photos I posted with this response had strong cartilages that were narrowed in her operation.
It also looks as though you narrowed the distance, measured horizontally, between the edges of your nostril skin from the front view. *Some* of that can usually be accomplished, though maybe not quite as much as you drew.