Noses come in every shape and size. Many patients with a wide nose are unhappy with their nasal shape and turn to rhinoplasty to achieve a narrower nasal appearance. Thinning a wide nose through rhinoplasty can provide better facial harmony, helping a highly prominent nose to fade and become less obvious.

Where Is Your Nose Wide?

Wide noses aren’t all the same. The wide appearance can be caused by too much width in the bridge, the base of the nose, or the tip. Some patients have too much width in all three areas; others may be wide in only one of these nasal zones. 

Pinpointing the source of the wide appearance is essential for creating an effective treatment plan. 

  • Bridge- The bridge of the nose is the bony ridge that extends down from the skull and meets up with the soft cartilage of the lower nose. We often remove small quantities of bone from the bridge to create a slimmer, more defined structure. Some patients have bumps or humps on the bridge that are reduced or modified.  
  • Tip- A bulbous tip can make the nose appear much wider than it actually is. Tip refinement can dramatically improve the appearance of the nose and help it to appear slimmer. Dr. Fleming uses several techniques to refine the nasal tip. He may remove some of the cartilage or use special suturing techniques to create definition. 
  • Base- If the base of your nose is wide, the nostrils probably play a role. Wide or flared nostrils contribute significantly to a wide nasal appearance. There are several ways to slim and refine the nostrils. One technique is to remove a sliver of tissue from the nostrils. This wedge of skin is usually removed from the base of the nostrils, where it connects the face. We use the eyes as measuring guideposts to determine the ideal width for each patient’s nose. 

Many patients with a wide nose also have thick skin. Thicker skin can make rhinoplasty more difficult. It hides and covers small refinements and may have trouble shrinking up when the nasal size is reduced.  A specialized rhinoplasty surgeon like Dr. Fleming knows how to work with thick skin and overcome this rhinoplasty challenge.

Reduction Rhinoplasty Is Complex- Choose Your Surgeon Carefully

Reducing a wide nose often requires removing skin, tissue, cartilage, and bone from the nose. This type of rhinoplasty is called reduction rhinoplasty because it reduces the nose. Taking tissue and bone from the nose can have unintended consequences of destabilizing or weakening the nose if the procedure isn’t performed carefully. Reduction rhinoplasty is complex and we recommend working with a highly-skilled surgeon to ensure good results. 

Look for these characteristics when choosing a surgeon for your rhinoplasty for a wide nose. 

  • Board-Certified – Board-certification helps to distinguish doctors that are masters in a particular field from others with less training and experience. To achieve board-certification, a doctor must demonstrate their skill and training in a specific medical specialty. For rhinoplasty, we recommend looking for a board-certified plastic surgeon. Dr. Fleming is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. 
  • Rhinoplasty Specialist– Rhinoplasty is one of the most complex types of facial plastic surgery. We recommend choosing a surgeon that performs many nasal surgeries each year. Look for a surgeon that specializes in this technique and has received advanced nasal surgery training. 

If you have a wide nose, come see Dr. Richard Fleming for a rhinoplasty consultation. Contact our Beverly Hills office at 310-278-8823 to schedule your visit to our practice.