I hate the way my nose and nostrils look - it's too big and fat. (photo)

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose.   Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

A full set of facial photographs are required to make a determination about a surgical procedure on the nose. Thick skin in the tip of the nose prevents refinement in that area. To narrow the bulbous tip requires suture techniques and a conservative cartilage removal. Osteotomies placed in the nasal bones can accomplish and narrowing them as well. For more information and many before and after rhinoplasty examples, please see the link and the video below