Male with an upturned nose. Can it be fixed? What's the best way to refine my cheeks? (Photo)

An upturned nose can be improved with a rhinoplasty.  Photographic imaging can help determine the aesthetic goals and then structural support to the nose can help lengthen (move the nose downwards or counter rotate) the nose so that it is in a more favorable position.  An experienced rhinoplasty and revision rhinoplasty surgeon will be familiar with techniques to adjust length and positon of the nasal tip.

While it is difficult to lengthen a nose, it can be done, but typically only to a very small degree. Fat removal/transfer can be an effective way to alter facial proportions depending on your exact goals.