Help! I want a more proportionate, attractive face. Rhinoplasty? Chin implant?

Click on the "Web reference" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_taylorengsxo.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.Mostly, I narrowed the tip of your nose, and also narrowed the bridge a bit. The prominent edges and bumps are all caused by your strong tip cartilages. The woman in the short video just above had similar wide tip cartilages.You might also benefit from a *small* chin implant. Actually, your chin doesn't bother me at all, but it's personal preference.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon. You should only have surgery if you are able to make yourself very confident in your surgeon's skills.
I'd love to hear what you think of the morph. Did it seem to address your main concerns?
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery. You don't want to be looking for a revision later.

There is no one non-surgical option for your nose and chin, to begin with, you need a very very very (yes, 3 "very's") good  and creative plastic surgeon specialized in high end cases. 
Yours is a very atypical combination of quite common issues and technical challenges, a real combination oddity even for a vastly experienced nose surgeon like I may be, nevetheless each issue separately is quite common (except one), the oddity is meeting all them in the same nose. Moreover, several of the technical issues and anatomical pitfalls your nose has can be considered of high or very high difficulty, requiring top-notch rhinoplasty skills. I'll try to be schematic and explain one by one the problems with their solutions.
What are your specific features which are not normally found in other
noses? ONLY ONE, read attentively and concentrated, there is only one
feature in your nose that is a "congenital oddity", and this condition
is the key diagnosis for you:
CONGENITAL ABSENCE OF THE INTERDOMAL FIBROFATTY PAD AT THE NASAL TIP
Period. End of the discussion.
The other features of your nose, and its other diagnosis can be more
or less commonly found in rhinoplasties, but the only one that makes you
different is you are born without a tiny but aesthetically of paramount
relevance adipous (and somehow fibrous as well) fat pad in between the
two cartilage domes which form the nasal tip, and this fibrofatty pad
happens to exist in all human noses in a larger or smaller degree. In
your case is non existant, leading to your odd nasal tip shape.
Now, some key concepts explaining why the absence of the fibrofatty pad has led to your deformity:
-nasal tip: it is formed by the union at the midline of the domes or
arcs of both alar cartilages + the presence (in higher or lesser amount
and extent) in between the domes and over the arcs (depends each
ethnicity) of a fibroadipous pack of tissue which fills the gap between
both domes. In some noses the domes match closely and leave no one or
almost no gap between them (asian, afroamerican, slavic and nordic
noses), others leave a wide gap between the noses (mediterranean, latin,
saxon and arab noses). Such gap, if exists in a relevant degree, is
normally filled by the fibrofatty pad, slightly filled by it, partially,
largely or massively filled by the fibrofatty pad, even totally sunken
into a extense fibrofatty pad; well... when there is a gap between alar
domes not in close contact between them we can classifty the tips as:
boxy (or square), cleft (or bifid), clown's... and YOURS.

-Boxy or square tip: the alar domes are wide apart but the whole gap
(and sometimes part of the domes) is filled (and sometimes the domes
covered) by a huge fibrofatty pad, making an external effect of en-bloc
square structure or box, but actually and inside underneath the skin is
made of two cartilagenous arcs (the alar domes) with supporting pillar
and an in between (the arcs and the pillars) a bridge or natural filler
of fibroadipous tissue (kind of "filler concrete"). Normally is
associated with broad pleateaus at the nasal domes, overprojection of
the tip (long medial and sometimes lateral cruras) and oversized
cephalic ends of the lateral cruras. Treatment is under open approach
rhinoplasty to comply with: subtotal removal of the fibroadipous tissue,
plication of domes and / or pillars to the midline, shortening of the
pillars to deproject the tip, plasties (sutures, Ortiz-Monasterio's
alternate incomplete transection technique,etc), trimming the cephalic
excess of the lateral cruras, and any other additional maneuvers deemed
accesory.
-Cleft or bifid tip: same than former, but the fibrofatty pad is
smaller and is unable to fill up some areas of the interdomal space at
the tip and / or the pillars (beneath the columellar skin), producing a
groove and an externally visible gap between at tip and / or columella.
Same treatment as former.
-Clown's tip: same than first, but the fibrofatty pad is tiny, so
there is very little filler beweet the spaced-apart domes and / or
pillar, making the externally visible separation at tip and / or
columella extremely visible. Treatment same than first.
-YOUR tip: same than first but... there is NO fibrofatty pad or
tissue underneath the tip and columella skin, in between the domes or in
between the pillars, there is NOTHING remaining of such filler, the
cartilages are skeletonized and transparent underneath the skin. Treatment? simple... (almost) same than first. Period. This correction is of medium difficulty and quite routinary in the hands of a high-end rhinoplasty surgeon, commonly applied to many kind of noses.
And now, I'll list the issues in your nose that are not oddities and are typically met in many cases, however rarely seen altogether in a single patient:
-Flat dorsum / low bridge: you are right in yuor assessment, your nose has a flat dorsum running almost parallel to the maxilla, somethign very commonly met in asian noses or some afroamerican, but odd in caucasians except thos from nordict european ethnicity or some nordic slavic patients (I assume you have this genetical background). We have two options for this: shortening the tip in order to even it with the current dorsum heigth... or raising the dorsum to meet the tip (tip which can be well likely slightly deprojected)... I'd bet for the latter, I really think and agree with you your dorsum has to be raised with an onlay dorsal cartilage graft (with or without temporal fascial cover to hide its visibility, you seem to have thick skin so might be unnecessary hiding the dorsal graft with fascia). Not a very difficult maneuver but extremely difficult to graduate and calculte, needs a surgeon with very good mental modelling abilities.
-Short nose with short septum and upturned tip: all this pack has the same origin, you have short upper lateral cartilages and nasal bones (structures forming the nasal walls) and a short septum as well, this makes your nasolabial angle unacceptably broad (angle between columella and the horizontal plane); to lower this angle to a resasonable configuration (no more than 10º upwards) you need nasal lengthening (don't mistake with tip lengthening) by means of septal caudal extension grafts, alar caudal extension grafts, eventually with columella-tip shield grafts (to be assessed intraop); this short nose syndrome is not uncommon in nordic european or slavic patients, however its correction is one of the most difficult maneuvers in rhinoplasty and is only accessible to top-notch and vastly experienced professionals.
-Broad dorsum: you need dorsal narrowing, WITHOUT dorsal shaving (obviously, yours is already a sunken dorsum close to be a "saddle nose deformity"; this is made by means of para medial or para septal resection of cartilage (soft lower dorsum) and bone (hard upper dorsum); a delicate but well known maneuver.
I very wish you find a surgeon with very deep anatomical and
technical understanding of your case, which on one side is very tricky
and dangerous... but on the other side is not that
difficult in the hands of a surgeon well experienced in ethnic noses and
atypical cases (revisions, genetically hybrid, etc.). Do reject any
opinon or proposal which is not like the one I deployed in my text or at
least pretty close to it. Nasal difficulty rated 10 out of 10 scale of primary rhinoplasties, can be considered a kind of caucasian ethnic nose subtotal overhaul, surgical time about 5 hours.
About your chin, you are NOT a case for a chin implant or "magic fillers"; in general
chin implants are very problematic (dislocation, artificialnes, dynamic
deformities, short lifetime, early removal due to pain or disturbances,
bone imprint and cortex thinning, infections, etc) and the osseous
genioplasties (sliding, augmentation with grafting or reduction) are way
superior and unparalleled in safety, naturalness, beauty and
versatility.
Your chin is three-dimensionally small (microgenia), this means you
need a major vertical increase, slight horizontal widening and moderate anterior advancement,
thus making you a case for the three-dimensional augmentation
genioplasty, with bone grafting supply (donors elbow / hip) and a very
well planned preop antropometry of the craniofacial relations, and
needless to say with good aesthetic judgement. This is a 10 out of 10 difficulty in genioplasties / chin surgery, surgical time 3-4 hours.
Do seek the advice of a really good facial surgeon with experience in
osseous augmentation genioplasties. Beware: a simple sliding genioplasty
would not work for you, you'd get a sharp "witch's chin", you must
also widen it moderately (avoiding masculinization, just to round its
contour and fill the sides) and increase vertically (to balance it with the rest of your
face). In good hands the results are simply awesome.


Feel free to request any additional information from me.

Thank you for your question. You are correct in noting that the nose and chin work in symmetry with one another to create your aesthetic appearance. The rhinoplasty can address the bulbous and wide tip, and the bumps. I suggest that you move forward and consult with a board certified facial plastic surgeon to discuss your options and potential solutions.
Best wishes,