How much could a rhinoplasty help improve my nose. I am worried as I have thicker skin? (Photos)

At least from these photos, your skin doesn't seem all that thick to me. Looks like it's the size and shape and strength of your tip cartilages that is causing most of what might bother you about the nose. I would like to see the tip deprojected, which means moving the tip back closer to your face, and elevating the tip, and probably narrowing it some as well, and then lowering the position of the bridge to match the new position of the tip.
How *much* to elevate the tip, or deproject the nose, 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.

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

A rhinoplasty will make a marked improvement. Your nose is too prominent, it needs to be shortened and the nasal columella angle needs to be increased to 110 degrees. Your skin may be thick and is hard to tell from photographs but that should not be a problem.

Best Wishes,

Gary Horndeski, M.D.