Went into this extremely cautious and with YEARS of research behind me.  Goal: less bulbous, more refined tip.  FYI to other AAs: NO alarplasty (scarring), Goldman tip works (along with cartilage support in bridge) & go conservative! Avoid getting a pinched tip! Less can be more! It's better to only achieve small results and go back for more rather than overdo it.  We want to look natural.  I still look like me, just a better version.  It has worked out perfectly because I had a surrogate child less than two months ago and during a school break I had this done so it parallels perfectly with my weight loss.  My face looks thinner so it took the focus off of my nose.  I absolutely feel so much more confident! New goals, new wardrobe, less negative people in my life.  It was worth every single penny.  Don't go with a doctor who wants to schedule the procedure after only seeing you once.  You need a doctor with integrity who will meet with you 4 maybe 5 times before this procedure.  If he keeps saying that "everything will be perfect/ beautiful" and never mentions what he CANNOT do, he could be unrealistic and you could be headed for disaster.  My surgeon was completely honest with me and I felt 100% comfortable when I went in for the procedure.  I knew exactly what he planned to do.  No surprises.  I can't speak to the success or professionalism of other doctors but I will say that this surgeon and his staff were amazing.  Good luck!