Reduction Rhinoplasty - Why can't I have the little nose I want?

  I understand your frustration, but like anything else there are limits to what can be done. The limitations of how small you can make a nose include, the skin envelope, the cartilage and the function of your nose. If you take out too much cartilage your nose will collapse and you will look terrible as well as not breathe well. The good news is that your doctor is being honest with you and is giving you realistic expectations.  The problem I often see is that the surgeon promises results he or she cannot deliver.  At least your physician is honest.

Good Luck

A rhinoplasty is able to refine and enhance the appearance of the nose, but does have anatomical limitations. Skin thickness, bone structure, and cartilage all alter the maximum refinement options. Additionally, the ideal nose is one that harmonizes and balances your features, and an overly reduced nose may not be ideal for your facial structure. Going forward, I would recommend you to discuss your concerns with your surgeon, but also discuss your aesthetic goals with other board certified plastic surgeons. 

Reducing the nose too small can result in functional problems such as sinusitis or compromise of the nasal airway with obstruction