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A full set of photographs are required to make any determination about making those smaller. The nose is a three-dimensional structure, and one photograph only represents one dimension. Thick skin will be an impediment to seeing a very refined result on the tip of the nose.
Its unrealistic to think that your skin will shrink to a small size. There is only a finite amount of shrinkage that is possible. Less so with a reviision with scar tissue present.
A revision rhinoplasty and chin implant can be performed together. It is hard to say the cost, but most offices do offer financing through places such as CareCredit or Alpheon. I definitely suggest finding a surgeon based on qualifications and results rather than someone who will...
Another rhinoplasty can help but it really depends on what was done the first time. More cartilage can be removed or even added to gain more projection,etc.
Silicone nasal bridge implant can erode through and can be infected.It is very important to make the proper diagnosis. Either way the implant needs to be removed. If cultures show infection then treat infection and about three months later consider cartilage graft.get a consultation by a board...