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

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