As a plastic surgeon, I try to meet the patient's requests and not necessarily my own.
Beauty is in the eye of the beholder. Too often in the past, there have been ideals or canons established which establish and tell us the goals of surgery but not meet the patient's desires. For example, attempting to make the asian eyelid appeary more causcasian or the black nose more similar to a caucasian nose.
A rhinoplasty or nose job can consist of 20-30 different steps that each accomplish a different purpose. An individual's customized rhinoplasty really consists of using a variety of combination of these steps to acheive the PATIENT"S goals.
The one difficult aspect of this is tissues behave biologically and not always predictably. This means that the tissues may settle or contract or heal in an unpredictable way. The best way to prevent this is not build up the nose so solidly that it doesn't "settle" but the trade-off may be a bigger more solid nose than the patient desires.
If all YOU want is your nostrils narrowed then this can be accomplished. BUT if you want the tip of your nose more narrow or the hump removed (as in a typical rhinoplasty), then narrowing the nostrils will not achieve this appearance.
