Andrew Pichler, MD

First, it is difficult to make a judgement based on just one small photo and one view. Palpating (feeling) the nose is also important to determine skin quality. All this goes into the decision making process when deciding what  to do. But, based on the one photo it does appear that perhaps your lateral osteotomy (the bone cut along he side of the nose to narrow the nose) was made too high so there appaears to be a "step" deformity. This can be easly felt on exam,. This may contribute to the unnatural look but can be corrected relatively easily upon revision by doing a secondary lateral osteotomy. As to the skin shrinkage you can expect that to continue up to 12-18 months after surgery pending the thickness of your skin. Hope this helps. Good luck.