Well, I think your English is great! Yes, you would benefit from a rhinoplasty. In my opinion, I would not lift the tip up. Your side view shows your tip is elevated. You should have a tipplasty to reduce the roundness of the tip. Yes, you need the bones broken to narrow the bridge. As for defatting...there is no fat in the nose. I'm not sure if this is a translation issue, but I would ask the doctor what he/she means by that. Here is something to think about...your chin is relatively recessed. When the chin is small, it makes the nose appear larger. Adding a chin implant (in addition with the rhinoplasty) will help reduce the focus on the nose and balance the lower half of your face. If you place your finger from your lip straight down, your chin should touch your finger. Yours is far back. You may consider chin implant and rhinoplasty surgery.