An over rotated nasal tip can be difficult to de-rotate. However, a number of technqiues can be used to de-rotate it. This can be achieved by wide dissection, tip sutures, as well as grafting to the septum to basically push the tip down.
I had to update this answer since now I do go to Dubai and perform rhinoplasty there fairly regular (once a quarter). I am sure you have had your operation since I last posted an answer, but for anyone else reading, please refer to the link below.
RealSelf moderator note: Click on the do...
Nostril size can be further reduced but you want to be conservative; once tissue has been removed, it cannot be placed back in. When too much skin has been excised, the sides of the nostrils (the alae) can appear too straightened or artificial. You want to leave a little curve so that the...