Click on the "Learn more" link, just below my response, or go here: FacialSurgery.com/RealSelf/RealSelf_grace98.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. Here's the deal: you have a bump on the bridge of your nose, and the nose is very strong in its forward projection from your face. The woman in the short video I posted with this answer had a strongly-projecting nose. If the bump is lowered, and the tip brought back toward your face, those changes make the nose *look* longer, as if the tip dropped, so we elevate the tip (to the patient's taste, of course), to offset that factor. If you have tiny tiny changes, leaving the strong projection, and leaving part of the bump, sure, nobody will notice, but that's a lot of work and risk to go through for no results. Also, my patients who insist on tiny changes in noses that need more, usually wish later that they had done more to their noses. If you're bothered because your nose is too big in some dimensions, then don't have the surgery unless your plan is to get the nose so it's *not* too big in those dimensions, or after surgery, when it's still a little too big, it'll seem like, "why did we do this?" What most people are happy with, is a nose that looks natural and has good proportions to their face, and is an attractive nose for them. If that's a big-ish change from their original nose, well, that's okay, too. Don't leave yourself with a nose you still don't like, just so that other people don't notice. My two cents. 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 "Learn more" 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 some of your main concerns? Maybe I did a little bit too much with the morph? It doesn't have to be de-projected quite that much, or upturned quite that much, but I wanted to show you how we name those changes. I can make another morph if you like. 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 an attractive nose, and whether he shares your opinion of what constitutes an attractive 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.