Would it be possible to pull my nose down but also raise how far it sticks out? (Photo)

Asian rhinoplasty to increase nasal length as well as projection.  It is possible to do this along with narrowing your nostril base. Your goals are appropriate and you should see a very experienced rhinoplasty surgeon for the best results.     

Realself.com is a wonderful platform to exchange general information, but is insufficient to offer reliable specific recommendations that you could get in personal consultation.The changes you're requesting are fine, in millimeters, and all of the related three dimensional relationships and your existing anatomy are important elements to consider in formulating treatment plans.  See one or more plastic surgeons in your area for help with this request.

The concerns you have about your nose are very common, and it is very possible to add length to your septum to correct your columellar retraction and refine your tip. It is also possible to take away some of the feeling of alar hooding, or the sense that your nostril hang over the columella and make the central part of your tip feel blunted. You should come in for a consultation with rhinoplasty surgeons who have extensive experience with noses like yours to ensure a great result. All the best,Jason Litner, MD

The short answer is yes, definitely. Based on these photos it appears that your alar lobules are lower on your face than your columella and this would benefit from lengthening your septum as you've mentioned. Your tip can be moved farther out from your face and the bridge raised to balance things out. These are quite commonly requested changes and since you are a primary case you should bet a good candidate. It is possible that you will require cartilage harvested from your chest wall or ear(s) to provide what is needed to accomplish your goal.

The areas that you described and would like
improved can be addressed with a subtle natural appearing rhinoplasty performed
by an expert artistic plastic surgeon with extensive rhinoplasty experience. Keep in mind that following
advice from a surgeon on this or any other website who proposes to tell you exactly
what to do and how to do it based on two dimensional photos without examining you, physically
feeling your tissue, assessing your desired outcome, taking a full medical
history and discussing the pros and cons of the operative procedure would not
be in your best surgery. Natural appearing results need to be individualized
and what is appropriate for one patient is not necessarily the best for someone
else. I would suggest that you find a surgeon with extensive ethnic rhinoplasty
experience certified by the American Board of Plastic Surgery and one who is
ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS)
or a facial plastic surgeon (otolaryngologist) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, M.D., FACSLa Jolla, California

The model picture you submitted has a sharp tip which I'm afraid would be an overly optimistic expectation given the thickness of your nasal skin. Your nasal bridge can be raised, we can lower the columella (near your septum) and narrow your tip using cartilage grafts. However, the model picture has a tip that would not be a reasonable expectation for your final result.

A full set of pictures from the side and three-quarter profiles are required before making a determination on what can and cannot be accomplished with the rhinoplasty procedure. The bridge of the nose can be built up with the patient's own cartilage. The tip can be narrowed with a tip rhinoplasty.  The sidewalls of the nose can be narrowed with osteotomies. The nostrils can be narrowed with an alar-plasty. All this can be accomplished with a closed rhinoplasty approach.

HiTo lower your nasal tip area, you will need a caudal septal extension grafts, plus tip shield grafts, likely more than one. These are taken from your septum or ear, as cartilage grafts.The same is true for your dorsum or top of your nose. Septal grafts can be used or cadaver grafts or Gore Tex grafts. I do not recommend plastic implants: tend to come out-extrude.your nostrils will also need narrowing.

Thank you for your question and photos.  I would go on consults with experts in your area who, after a complete examination aided by digital photography can show you what can and what cannot be accomplished with surgery so you are fully informedDr Corbin

Dear BB1098, Consultations with experts in the field of rhinoplasty will allow you to have the professional insight you need to make an informed decision regarding surgery. During consultation digital imaging can be done to show you the proposed result and after reviewing this the surgeon can discuss with you exactly what surgical techniques will need to be done to attain the desired results. Review many before and after photographs of similar noses and then you will be fully informed of your possibilities. Best regards, Michael V. Elam, M.D.