I am looking at wanting to derotate and lengthen my nose and wondering how easy my case is? (Photo)

I am looking at wanting to derotate and lengthen my nose and wondering how easy my case is? I have thick skin and I’m terrified of revision as I don’t want this to get worse but I truly do not identify with an upturned tip. Also how many mms / degrees is possible for lengthening and derotation?