X-rays should be done to determine the contribution of the anterior nasal spine to your base of the nose protrusion to determine if its reduction would be beneficial.
This is called a tension nose and the appearance can be improve by reducing the nasal spine and it brings down the overly projected tense tip. RegardsDr. J
Hello and thank you for your question. Based on your
photograph, you may benefit from altering your nasolabial angle and changing to acute angle of the tip of your nose. Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon