It does appear that your nose could be narrowed somewhat and made more refined. Of course only a consultation with a plastic surgeon can give you a complete understanding of what can be done for you.
Nose job to refine nose width and tip
The only way to narrow the sidewalls of the nose is to perform osteotomies and narrow the nasal mucosa, also known as “breaking” the nose. That is the only way possible to narrow the nose. Thick, oily skin will be a limitation to any surgical enhancement of the nose because it just does not allow for excellent definition of the cartilaginous and bony structures once they have been reshaped.
Refining the nasal features without changing your look too much certainly can be achieved. If you have very thick skin, it may be difficult to refine the nasal tip as much as you would like.
Rhinoplasties are best planned with additional photographic views
Sounds like and looks like that you would benefit from a surgical rhinoplasty. You are very attractive, and a nose job would help to harmonize your nose with the rest of your face.
However, I can't give you specifics without side views ("laterals") and a "worm's eye" view (from your feet looking up into your nostrils).
I suspect that you will require a full rhinoplasty, involving the tip, sides, and top....
- Usually, I make a small incision in the skin of the columella (the middle portion between the nostrils) for optimal visualization. This is called an "open" approach and is great for decreasing the bulk of a "piggy" tip.
- I trim, augment, and reconfigure the tip cartilages.
- I might reduce the height of the nose, or augment the base of the nose between the eyebrows (as seen from the sides).
- You will probably require fracturing (breaking) the nasal bones to thin the nose.
I hope my suggestions help. Post some more photos, and we can all be more specific.
Refining the thickness of your nose can be accomplished with Rhinoplasty Techniques
In order to thin the nose the nasal bones would require to be thinned and brought closer together. The tip is also a little wide requiring a finesse tip rhinoplasty. Your nose is also a little short causing ti to look a little piggy (upturned), this would only be corrected by slightly derotating the tip using cartilage grafting.
Refining of the sides of the nose is possible with a rhinoplasty.
The side walls would need to be fractured to narrow them the right way. You are right is thinking that you will need the tip narrowed as well. See an experienced rhinoplasty surgeon who does natural noses that you like.
Refining the nose with a finesse rhinoplasty
More photos would be required to give more accurate suggestions. However, it appears to me that you would benefit from a finesse rhinoplasty to thin and enhance your nose. Typically the procedure is done under local anesthesia with twighlight sleep.
Nose sides can be refined with rhinoplasty.
Your expectations are realistic, and I think a good rhinoplasty will accomplish what you want. A step by step surgical plan is made after detailed examination, so I would not tell you exactly what you need based on one photograph. I do think the bones probably should be narrowed as well.
Plastic surgery for "piggy" nose
A side view would show the upturned tip. In this case, you may benefit from a septal extension graft which would push the tip forward and give the illusion of a longer and thinner nose. In this instance, you could also benefit from enhanced projection along with nostril reduction. Without cutting the bones, your only option to give the illusion of a thinner nose is to add a graft to the top of the bridge to make it appear taller and thinner.
Thinning of Lateral Nostril Thickness
The thickness of your nostril rims laterally is very difficult to correct in most cases. At your consultation for rhinoplasty, make sure that your prospective surgeon addresses this, and ask to see photos of patients with a similar nose to yours.
Do choose your surgeon most carefully.
Good luck and be well.