...you will have real problems to find a suregon with skills to provide efficiently the following:-tip plasties to correct your broad tip, my option is Ortiz-Monasterio domes tailoring, and eventually a Sheen shield-pentagonal graft on the tip >>> highly demanding step from a technical point of view, only for skilled top surgeons-tip shortening >>> accessible to most rhinoplasty surgeons-tip reduction >>> also accessible, medium difficulty-dorsal narrowing WITHOUT bridge reduction >>> top difficulty step, for top surgeons; the normal method to narrow a bridge is with a "side effect" of bridge removal, when we remove the bridge and close it with the nasal in-fractures we, "accidentally" create always a narrow dorsum, which is nice always; what to do when there is no nasal bridge? if we reduce further the bridge we would obtain a catastrophic sunken bridge or saddle nose deformity, so this is not the option anymore... you need a paramedial or parasagital dorsal reduction without any dorsal deeping; how is is done? the dorsum or bridge is made of 2 parts: the cartilage and soft and the hard or osseous made of bone... the cartilagenous part needs the removal of 2 tiny para-septal triangles of dorsum between the upper lateral cruras (aka lateral cartilages) and the cartilaginous septum... and the bone upper part of the dorsum need the use of the precision Joseph's nasal saws to "eat" 1 to 2 mm of paraseptal dorsal bone of the dorsum between the nasal bones and the osseous septum; by means of this precision and delicate maneouver you obtain a thin dorsum like you have depicted in your photoshop wished picI am an GMC registered plastic surgeon with number 7357207 as well as registered in Spain, Madrid, where I do practice attending almost exlusively English speaking patients coming from the UK and USA, also other countries; I kindly invite you to a free of charge consultation online with me without any obligation; google about my reputation and this may show to you my experience in such cases, you'll also find easily our website of UK patients.Anyhow do find the righ surgeon for your difficult nose, which I do solve routinarily in my practice.