I know I want a nose job, but I don't want to make my nose too small, advice?

The rhinop[lasty consultation will be extremely important for you to make sure that your surgeon knows EVERYTHING you are bothered by and that all of your concerns are addressed. If you came to me, this is what I would tell you:
1) we can absolutely tailor the size of the nose to match your face and/or what you want2) the space between your nose and mouth looks a little off because you appear to have a retruded maxilla so it's almost as if everything is tucked inward... this is not something that is easily fixable other than considering an intense jaw surgery, but a possible option could be some very deep fat grafting/augmentation of your maxilla. this is also why you might think you have a hanging columella but yours is actually not too bad.3) the bulbous tip can absolutely be refined4) for pic #4- everyone has facial asymmetry and one side smaller, this is likely why you note that things seem to be tilting toward your left side5) everyone's nose widens when smiling- this is because your smile muscles partially attach to your nose. This will never be changed; however, it can be somewhat reduced by doing alarplasty surgery to reduce the width of the nostrils in general. You have to be realistic about how much of an effect this will do because like I said, even afterward, your nose will still widen when smiling.6) you can absolutely get the tip dropping when smiling corrected too with rhinoplasty

Rhinoplasty can enhance nasal shape and profile according to the wish of patient and surgeon suggestions.It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

The dorsum of your nose is concave and you will need cartilage graft to create a more straight dorsum. The tip needs to be redefined as well and the angle needs to come up a little bit. Your nose is leaning towards one side that needs to be corrected as well.

Best Wishes,

Gary Horndeski, M.D.

If you have severe dissatisfaction with the appearance of the lower 1/3 of your nose, Rhinoplasty involving the lower 1/3 of your nose maybe considered, depending on your examination. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could understand what to expect moving forward. I hope this is helpful! Sincerely, Dr Joseph

A rhinoplasty to narrow your tip and reduce your infratip lobule would give you a nice result. It is mostly the tip that is of concern.

You do not need ultrasonic (Piezo) rhinoplasty, which is effective only for bony reduction. You are simply asking for a smaller tip and more narrow base of your nose without lengthening the vertical of your upper lip (or dropping the upper lip). The operation to achieve these outcomes is a "mini"-rhinoplasty, or tip rhinoplasty. The tip cartilages can be diminished in size, but your surgeon must focus also on maintaining projection of the tip cartilages to keep your nice supra-tip break. Tip skin can be thinned a bit to define reflection points and create a more delicate appearing feminine tip. Your nasal base already appears narrow, I would need to see your smile to understand the widening of your nose you are seeing. It may just be the columella between your nostrils... sometimes raising that a millimeter or two helps. Overall, I agree, less is more for you, your nose is nice starting out, it's just small finesse changes you are asking for, and that is all you should have.

You seem to be a good candidate for nose surgery; the bulbous tip and heavy skin are dominant features of your nose. In-person consultation with a board-certified plastic surgeon, an expert in rhinoplasty, and 3D simulation, if available, would help your decision. Hope this helps.

Ho, what you are describing is actually what a good and successful rhinoplasty (nose job) should be. The first critical part to achieving a successful rhinoplasty is the consultation. This is when you sit down with the surgeon and discuss the surgical goals. I find that using computer morphed images is essential in this communication process as I can show patients different variations and get their feedback. That is how we set a realistic and ideal goal for Surgery. Regarding your nose specifically, although this is far from thorough consultation, it seems the upper part (the bones and bridge) are already proportionate to your face. Bringing the tip into harmony with the rest of the nasal proportions and face might give you what you want. But this really does require a thorough consultation with a surgeon specializing in rhinoplasty. Good luck.

Rhinoplasty surgery it’s not a single procedure. It is a very general term used for any operation that changes the shape of the nose. Within the umbrella, rhinoplasty and many different operations that can address each anatomic subunit of the nose.
Simply stating I had or I’m going to have a rhinoplasty surgery really it says nothing because it doesn’t describe the problem or what the procedure is.
Patients should learn the individual subunits of the nose and describe concerns and wishes based on each of those. This would include terms like dorsal bump, nasal tip, bulbous tip, nasal tip angle, nasal width(both at the nostrils and nasal bones) Alar flair etc.
During in person consultations, it is very important that patients learn to describe in detail, but they don’t like in their nose and what they’re hoping to change. Plastic surgeons will become apprehensive at individuals who can’t define the problem and say things like “I want my nose to look better”. I think you’ve done a pretty good job of describing what you don’t like and what you’re hoping to at least not achieve. A lot of these things make sense. I think you have a slight bulbous tip, and that is probably the most significant part of your nose that needs to be addressed.
The nostrils sit slightly wide, but I have a feeling this is part of your ethnic origin.
The overall size of the nose, and the angle of the tip are excellent, feminine and fairly ideal.
Rhinoplasty surgery is considered fairly complex and is a procedure that patients should seek out someone who specializes in rhinoplasty surgery whenever possible.
Defined the right provider I suggest patients consider having multiple in person consultations. During each consultation, ask you to provide her to open up their portfolio and show you their entire collection of before, and after pictures of previous patients were very similar nasal characteristics to your own. And experience provider should have no difficult is showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing the best results of a providers, career or patients, who is the nose, doesn’t look like yours is insufficient to get a clear understanding of what average results will look like in the hands of this provider, or how many of these procedures they’ve actually performed.
The nose, or any part of the face is always assessed in context, with the rest of the face and surrounding areas. The human face is highly asymmetric on all people. If the nose looks different on one side than the other than most, commonly what you’re seeing is the facial asymmetry in context with the nose, which tends to be relatively symmetrical in comparison to the rest of the face.
Facial asymmetry is generally best left alone. Asymmetry is normal, and should be excepted as being normal. Baseline a symmetry is primarily based on bone structure it. Soft tissue manipulation to treat facial skeletal asymmetry generally just creates a second asymmetry.
Look for plastic surgeons in your community who seem to have a lot of rhinoplasty experience preferably focus exclusively on rhinoplasty surgery.
Best,
Mats Hagstrom, MD