It's sooo hard to tell from one photo at one angle, but perhaps what you are noticing is that the two cartilages that form the tip of your nose are broad and strong, and could be narrowed in a rhinoplasty. The woman whose before and after photos I posted with this answer had wide tip cartilages, though much wider than yours. The operation doesn't have to make you not look like yourself any more. The goal of any rhinoplasty is to make the changes that the patient wants while keeping the nose looking natural. And it's really only a small part of your face. How *much* to narrow the tip, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.) Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.