I think your nose looks good, and has no major clear indication for needing to be changed. The Dorsam can be narrowed through in fracturing. I suggest having a few in person consultations with plastic surgeons in your community who have extensive experience with rhinoplasty surgery. I cannot emphasize enough the importance of selecting skilled and experienced providers for this type of work. Look for plastic surgeons, focus exclusively on rhinoplasty surgery, or those who have rhinoplasty as a significant part of their practice and have been doing rhinoplasty surgery for at least one to two decades. I generally recommend patient schedule multiple in person consultations before selecting a provider. During each consultation ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar characteristics to your own. An experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients. There is an art to doing this procedure well and there’s no substitute for those who have lots and lots of experience with proven track record of consistent quality outcomes. Provider selection cannot be emphasized strongly enough. I recommend people avoid virtual consultations whenever possible, and schedule more than one consultation to help find the better provider. I think giving reassurance May also be appropriate. I think you nose looks appropriate and fine, and there’s something to be said about leaving it alone. Best, Matt hagstrom, MD