To make a nose smaller, it takes a rhinoplasty. The two cartilages that form the tip of your nose are broad and strong, and they make the tip of the nose look wide. When the tip cartilages are strong enough to give the tip some extra width, they are also usually strong enough to hold the tip out projecting away from your face more than we like, and to hold the tip down, so it looks a bit droopy. Your nose has elements of those features, too, so I would see to narrow the tip, remove the little bump on the bridge, elevate the tip a touch, and then move the entire nose back a little closer to your face (that's called "deprojecting" the nose). The woman in the short video that I posted with this answer had the tip of her nose narrowed and elevated in her operation. How *much* to elevate or narrow the tip, or lower the bump, or deproject the nose? 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 what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Full-face profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should always 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 only the surgeon has that information and judgment. Another aside: I also recommend that you not show morphs made by one surgeon to a different surgeon. If a surgeon makes his *own* morphs, you get to see whether he understands the important issues of your nose, and how your nose should be changed. But if you show the surgeon someone else's morphs, and he says "Of course I can make your nose look like that," then you don't really know if he fully understands, or even recognizes, the important changes shown in those morphs. And you don't know if he can make those changes during surgery.) 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 -- particularly the work on the tip cartilages -- 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. Your nose is also a perfect 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. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?Filler is putting something under the skin; it can only make the tip rounder and wider. It can't lower a bump, and it can't elevate the tip, and it can't move the tip or the bridge closer to the face. You can do an experiment to prove it to yourself: put your photo in some morphing software, and change it -- but you can only change it by *adding* to the nose, not by moving anything or taking anything away.