This young man felt his nose was off center and he also disliked his profile. He was found to have deviation of his nose from the front view with a somewhat wide nasal tip. His profile showed a convex shape with drooping of the nasal tip. He was also found to have wide nostrils or a wide alar base. He was noted to have thick nasal skin. His nose job surgery in Toronto included reduction of the nasal bridge with lifting and narrowing of the nasal tip. His nose was also straightened and his deviated septum was repaired which improved his breathing. The nostrils were narrowed by an alar base excision procedure. In this procedure small pieces of skin are removed from the region where the nostril joins the cheek and then are re sutured together. Generally the incisions heal well as can be seen in the close up view from below of his nostrils.