I want to make my nose smaller! I have such a low self esteem because I hate my side view of my profile. Any suggestion? (photo)

It is extremely rewarding to be able to help elevate a patients self esteem when I can adequately address an issue that the patient has been concerned with for quite some time.  It is important, however, in circumstances of low self esteem to make certain that the patient understands the limits to the changes of their nose they can expect even in the hands of an experienced rhinoplasty surgeon, and even more important for the surgeon to convey that even in the most successful outcomes, self esteem may not only be about the appearance of the nose.  In your particular case, a single profile view from a distance does show a bit of a prominant nose and somewhat of a hypoplastic chin, it would be difficult to comment on just how severe either of these issues are and what changes you can expect from rhinoplasty and/or chin implant surgery.

The photograph demonstrates an overly projecting nose, and an under projecting chin.  A rhinoplasty procedure can address de-projecting  the nose,  refining the tip and bridge line.  A chin implant can be performed to give added augmentation to the chin to help with facial balance and proportions.  Both procedures will help with the side profile significantly. For many examples, please see  the link and the video below

From the appearance of your photo, it seems that you would benefit from a tip-plasty and, potentially, a chin implant, for enhancement of your profile. It is not a painful procedure for the vast majority of patients and cost is variable, depending on many factors, such as length of procedure and insurance coverage for medical breathing issues. If you are bothered by your profile so much, then you should definitely go to a consultation and see what your options are.