Nasal refinement and balance
Your nose is slightly widened at the nostril level, and this can be due to smiling. However, reduction of the base of the nose can be performed, but you should realized that the overall balance of the nose will also be changed.
The upper bony part of your nose may appear wider in relation to the “new” thinner lower part. Balance in rhinoplasty surgery is the goal so that the entire nose fits well together.
Talk to your surgeon and discuss all aspects of rhinoplasty so that you can be fully informed of how changes in one part of the nose may affect other parts visually. (Ricardo Izquierdo, MD, Oak Brook Plastic Surgeon)
Without having seen your profile photo, here is what I think: You have an attractive face but your nose doesn’t fit your face. The nasal tip is too bulky, which is due to cartilage, which can be refined. Partial nasal bone narrowing would be desirable as well, especially if you are going to make the tip more refined.
Again, you want the nose to be natural and fit your face. (Mehryar (Ray) Taban, MD, FACS, Los Angeles Oculoplastic Surgeon)
Refining the sides of the nose is possible
Judging by your picture and what you describe, it sounds like you have wide nasal bones along with some excess tip width.
A rhinoplasty could certainly be performed to move the sides of the nose inward making for a thinner shape, along with refining and shaping the tip to match the rest. You would not chisel the nasal bones, but reposition them.
The chisel is used when a nose has a large hump that needs to be removed. This should not significantly change the contour of your bridge, which sounds OK. (Louis M. DeJoseph, MD, Atlanta Facial Plastic Surgeon)
Limited rhinoplasty is an option for certain patients
Narrowing or refining the sides of your nose with a small amount of tip narrowing is certainly possible. How much or how little work is done to a nose is a combination of patient preferences and surgeon recommendations.
Also, other views of your nose would be needed to make a more complete assessment. (Scott Trimas, MD, Jacksonville Facial Plastic Surgeon)
You need to see a plastic surgeon
It is important to see a doctor and explain what you want – I can do many different things to a nose, but I need to see you and examine you in person first before telling you what can be done. (William B. Rosenblatt, MD, New York Plastic Surgeon)
Nasal Tip Refinement
The tip of your nose is wider than your bridge. This adds the thick look of your nostrils. Also your nostrils are slightly wide as well. You can refine this look by reducing and reshaping your Lower lateral or tip cartilages.
Also a slight nostril narrowing may do the trick. Overall it is difficult to say without seeing your profile but I think you can get away with minor tip work. (Oleh Slupchynskyj, MD, FACS, New York Facial Plastic Surgeon)
Rhinoplasty of side of nose
The sides of your nose that you see in the mirror are made of both cartilage and bone. To narrow this region, you will need to have both the cartilage and bone reduced. In most cases, we also reduce the nasal tip to achieve harmony and balance with both the rest of the nose and the face (I would never describe your nose as piggy!). (Nina S. Naidu, MD, FACS, New York Plastic Surgeon)
What you desire is possible with Rhinoplasty
To have a ‘thinner’ nose from the frontal view is possible, but it would not be possible without resetting the bones slightly inward. Patients have fullness in this region on the side of the nose because of the position of the maxilla bone. It is very common in rhinoplasty to place an osteotomy or break in the bone in this area to move it in slightly. You also want to make sure you have balance between your top half and bottom half of the nose. You wouldn’t want to only make the sides thinner without addressing your tip, because your nose is balanced now, only making the top thinner would lead to imbalance. (Samson Lee, MD, Seattle Facial Plastic Surgeon)
Rhinoplasty Surgery for nasal refinement.
The width of your nostrils and tip can be refined with Rhinoplasty Surgery. Everyone’s nose will widen with smiling, so your single smiling photo is not the gold-standard for determining what’s best for you. If your bridge is perfect, then you may not need osteotomies. You should consult several board-certifird, experienced Rhinoplasty specialists with many favorable photos to determine what’s best for you. (Eric M. Joseph, MD, West Orange Facial Plastic Surgeon)