Is it possible to go from a big, bulbous nose to one that's small, even at the tip, like Megan Fox's? (photos)

Jaqueline, Reducing the size of the nose is something that takes a lot of experience.  I lecture regularly on ways to greatly reduce the size of the nose.  Take a look at the video below.  We have many ways to reduce the nose and make it smaller, less bulbous, and less projected.

Click on the "Web reference" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_jacquelineledoux.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.
I narrowed the tip of your nose. Your two tip cartilages are strong, and modifying the cartilages can make a big difference in your nose, like in the lady in the short video just above.Megan Fox has thinner skin than you do, and your thicker skin would put a limit on the *amount* of narrowing that you can achieve: your tip can't get as narrow as hers, but what you need is an operation that can get you as much improvement as your personal anatomy will allow.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns?
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery. 

Scarless Rhinoplasty is absolutely the answer.   This is the approach all celebrities, models and actresses take because there is no external cuts or scarring.  The goal is to refine the nose, not drastically change the nose.  By doing subtle refinements we are able to finesse the sculpt the nose to match your face perfectly.  By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling.
However, with this method we would make sure that Megan Fox's nose fits your face well before we forced it to look like this. Every face is different and beautiful, and we want to sculpt your nose so it fits the natural shape of your face. 
All the best!
Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 9021

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. You may also benefit from a nasal tip deprojection in order to decrease the overall size of your 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

Hello Jacqueline, and thank you for your question.  From your photographs, it seems like you would be a great candidate for a tip rhinoplasty where your nasal tip cartilage would be modified to add definition to the tip, and make it more refined and petite as you mentioned. I would be happy to talk to you about this further.  In general though, when pursuing a rhinoplasty
consultation, be sure your surgeon addresses all your aesthetic goals and concerns
specifically, and discusses the surgery details including the position and size
of the incisions used (with actual photographs and not just digital animations),
the risks and benefits of the procedure, recovery time, and post-operative
course.  Also, be sure to see plenty of before-and-after pictures in women
who have a similar nose appearance to yours, and preferably at different time
frames (3 weeks out, 3 months out, etc) to more accurately predict your own
surgical outcome.

And lastly, I think the most
important component of the consultation is to establish a good connection with
your plastic surgeon.  It’s the connection that allows you to clearly define your desired nose outcome
goals, the first step of this whole process. If you don’t feel you have a
good connection with your plastic surgeon after your consultation, he/she may
not be the best surgeon for you.
For more information on Rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH

Harvard-trained Aesthetic Plastic Surgeon

Hi Jacqueline, Althoughthere is no way to give you a nose as small and refined as Megan Fox you can get a dramatic improvement from a rhinoplasty.  I think that the bridge of your nose can be lowered and the nasal bones made narrower.  The tip can also be made quite a bit smaller nd given a better shape as well as deprojectes do it doesn't stick out as far.  there are limits to how much cartilage can be removed from the tip and still have support to prevent pinching and collapse. The nostrils can also be narrowed and made more symmetrical.  The thickness of your skin will also limit how small and refined the tip can be.  Look for a surgeon who performs many rhinoplasties and he or she will br able to explain what is realistically possible.

No, it is not possible to get a super dramatic change in the nose with a rhinoplasty procedure. The bulbous nasal tip cartilages can be narrowed and refined with suture techniques and conservative cartilage removal. The bridge line of the nose can be straightened with osteotomies and a spreader graft placed on the patient's concave side. Thick skin in the tip of the nose will prevent refinement or a dramatic change. It's very important to have realistic expectations about what can and cannot be accomplished with a rhinoplasty procedure. Please see link below for many examples of rhinoplasty

You can have a rhinoplasty to improve your tip. However, there may be some limitation if your skin is thick.  Best of luck.

It is not possible to achieve the amount of change you want.  Unfortunately you have thick skin unlike Megan Fox.  This limits how much your tip can be made smaller.  There is also a limit to how much the tip can be decreased in size without side effect - both cosmetic and functional.  You appear to have a difficult tip to correct because of the shape, size and position of your tip cartilages.  

Hello, The facts are :
1. Tip like Megan fox in your case is not possible.
2. If its tried - risk will be high
3.  If  you go for drastic rhinoplasty -you may in long run , as you age , have a very deformed nose, which will require reconstruction.