How can I get a cuter shaped nose tip? (Photo)

It's difficult to really tell based on that one oblique view that you submitted, but it appears that your nasal tip may be over-projected (sticks out too far from your face as compared to your nasal bridge), and you may have a hanging columella (skin and soft tissue between the nostrils). Those would need to be addressed as well as any other findings that would be apparent on the other 5 photographic views that are required to do a complete analysis. Each technical maneuver in rhinoplasty has ramifications, and it's a very complex operation. It's rarely as simple as "placing a couple stitches." If you are truly interested in getting some cosmetic work done at the same time as functional work, make sure you see a surgeon who specializes in facial aesthetic surgery and even more specifically, rhinoplasty. Best of luck.

I think that your goals are achievable with regard to tip refinement.Find a plastic surgeon with ELITE credentials 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

Clearly I cannot give
you specific advice about your specific nose without seeing you in person and
performing a physical exam. In general however, a bifid tip can be
improved by placing sutures in the cartilage and narrowing the angle and
distance of the cartilage. For a hanging tip, the cartilage can also be
shaped by placing sutures and "tucking" the cartilage up. These
sort of cosmetic changes can be accomplished at the same time as correcting a
deviated septum. Rhinoplasty is one of the most rewarding surgeries to
perform, but also the most challenging. Be sure to seek out a surgeon who
performs cosmetic and functional nasal work on a regular basis with quality
consistent results.