Facial beauty improvement options? Rhinoplasty or another procedure? (Photo)

We don't even *have* ways of changing the entire face. You have a number of nice features to your face: smooth skin, nice high eyebrows and young-looking upper eyelids, no fat bulges in the lower lids, and even the full cheeks are a *very* youthful feature. Plastic surgery has ways of addressing some areas of the face, but most of them aren't very predictable, and they come with risks; if I had your face, I'd adress the wide tip on the nose and see if that takes care of most of what you're concerned with. The tip of the nose is made up of two cartilages, and on you they are broad, with strong arches, and that makes the tip of the nose look round. Although you only posted this one view, frequently, when those cartilages are strong, they also hold the tip down, making the nose look longer than we might like, and they hold the tip out away from the face, so we think about moving the nose back closer to the face--that helps with making it less prominent.
How *much* to narrow the tip, or elevate the tip, or deproject the nose, 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. For most noses, 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.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

Each persons individual facial appearance is primarily based on bone structure. Soft tissues tend to be fairly consistent from person to person and what differentiates one individual from another is more related to the underlying bone structure.
When it comes to rhinoplasty surgery, patient should be able to tell you in their own words, exact changes they’re hoping to achieve. If not, the chance of dissatisfaction can become quite high.
You can certainly have your lips augmented with fillers, and there are a number of aesthetic treatments available that are non-surgical. None of them are going to change the primary underlying bone structure, which is what determines each persons individual appearance.
Facial aesthetics is fairly complex, and it’s helpful for both patients and providers if you have a clear understanding of what you’re hoping to achieve before seeking treatment options. There’s no shortage of people happy to take your money, offering all kinds of treatments, so I suggest becoming a well-informed consumer, and having multiple consultations before choosing any one a single procedure.
Best,
Mats Hagstrom, MD