You have a strongly "projecting" nose, which means it projects forward, away from your face. It could be moved closer to your face. Then, though, when a nose is brought back closer, or "de-projected," as we call it, it tends to make the nose *look* as though it got longer, as if the tip drooped. So the tip must be elevated at the same time. And then the little bump on the bridge brought down to match the new higher and closer position of the tip. These changes, while rather predictable in expert hands, are technically difficult to achieve, and the vast majority of rhinoplasty surgeons would not be able to accomplish them. So the surgeon you saw did you a huge favor by not offering you an operation. How *much* to elevate the tip, or deproject the nose, or lower the bump, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.) Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.