I think you can get a better, more natural result than the example you provided because the different components of her nose are not proportional. You do have thicker skin but you will see a significant improvement within a year of your surgery.
The tip can be refined and bridge narrowed through a
closed rhinoplasty approach without a visible scar to produce a natural
Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
Closed rhinoplasty techniques can certainly improve your nose. To narrow the nasal bridge, medial and lateral osteotomies will need to be performed on the nasal bones. Tip suturing techniques of the lower lateral cartilages will narrow and refine the tip. The mole can be shaved off the nose for cosmetic purposes. Close postoperative followup with cortisone injections to the tip, Blenderm tape will be required in the postoperative phase due to the thick oily pigmented skin that is present in the tip area.
Thank you for the photos. You are good candidate for cosmetic rhinoplasty. In the right hands you can achieve a more elegant and more feminine nose. I would use a closed rhinoplasty approach with possible Weir Excisions. Although your skin appears thick we can de-fat the internal area to help reduce the effect of the thick skin.
Make sure to go to an experienced Board Certified Plastic Surgeon who specializes in noses and look at his/her Before and After pics
Although it is true that the definition created at the time of rhinoplasty can be masked somewhat by thick skin, your nose can definitely be made more narrow and overall smaller. Cartilage grafts could be considered to improve tip definition.