Can I have a rhinoplasty without changing entire shape of the nose? (Photo)

Yes. It is possible to limit a rhinoplasty operation to the lower one-third of the nose (the nasal tip). This procedure is commonly know as a "tip rhinoplasty".In tip rhinoplasty, the appearance of the nose is refined by modifying the size and shape of the paired tip cartilages that sit at the end of the nose. These cartilages can be partially excised, shaped with suture, or modified with cartilage  taken from the nasal septum or ear. The goal of the procedure is to achieve a natural and elegant tip shape. At the same time, any drooping of the tip can be corrected and the nose supported in its new position. Nostril size can be reduced through carefully placed incisions around the nostril margins. The  final outward appearance of the nasal tip is determined by the shape of the cartilage framework and by the thickness of the overlying nasal skin. It is important to avoid an "operated" appearance and to preserve support for breathing. Look for an experienced surgeon that understands both nasal "form and function" and shares your aesthetic values.

 If you desire nasal tip rhinoplasty only and your dorsum is
fine, it can certainly be done without altering
the dorsum or the base of the nose. Rhinoplasty should be done in the hands of Board
Certified Plastic Surgeon or Otolaryngologist with expertise
in Rhinoplasty.

   Rhinoplasty can be tailored to meet your individual goals.   There is not a standard rhinoplasty.Kenneth Hughes, MDLos Angeles, CA

You are ultimately the one who would make any final decision about what would be changed with the shape of your nose.  My advice would be to visit a board-certified plastic surgeon with a lot of experience in performing rhinoplasties and listen to the advice given to you so that you make an educated informed decision.  Best of luck!

This is a great question and you are a great example of someone who less is more. I would make sure you are up front about what you are looking for. Keep it simple. Address only the issues you do not feel comfortable with about your nose.