I have a flat face and a very big nose. What can I do to achive the look I've always wanted? (Photo)

Every nose is different and unique to
that individual. If the appearance of your nose concerns you enough to do
something about it, it can be improved with a natural artistically performed
rhinoplasty. What would be the best options and exact procedures for improvement of the nose and face would depend on
an examination and discussion about desired outcome.
Keep in mind that following advice from a
surgeon on this or any other website who proposes to tell you exactly what
to do based on two dimensional photos without examining you, physically feeling
your tissue, assessing your desired outcome, taking a full medical history and
discussing the pros and cons of the operative procedure would not be in your
best interest. Natural appearing results need to be individualized and what is
appropriate for one patient is not necessarily the best for someone else. I
would suggest that you find a surgeon with extensive rhinoplasty experience
certified by the American Board of Plastic Surgery and one who is ideally a
member of The American Society for Aesthetic Plastic Surgery (ASAPS). If
you live outside of the United
States, the surgeon should ideally be a member of the International Society of
Aesthetic Plastic Surgery (ISAPS) that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.
Robert Singer, M.D., FACS
La Jolla, California

Options are nose reshaping (rhinoplasty), volume enhancement over the upper cheeks using fat transfer or fillers, possibly buccal fat removal to enhance the balance between the mid and lower face, chin liposculpting, and possibly a chin implant.  These are just suggestions and it's not all or none.  One at at time it totally acceptable.  Rhinoplasty is probably the number one procedure for you.  

Your nose has a small dorsal hump, and the tip it is a little wide. You can benefit from a rhinoplasty. You need to have a consultation to explain what will be your goals, what is your idea nose and if this can be achieved. A computer imaging software can be very helpful to show you how your nose may look like after the surgery and this will be important for you, so you can take a better decision about having the surgery or not. Please consult with a board certified Plastic Surgeon or Facial Plastic Surgeon to get a proper evaluation of your case.