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

There are anatomic limits to rhinoplasty.  Primarily, as volume of cartilage and bone is reduced, the skin has to go somewhere.  A well shaped nose needs structural support and if this is removed for the purpose of making the nose smaller, the result will be bad.

It sounds like your skin thickness is limiting how dramatic of nasal reduction your surgeon can perform. Surgeons must balance the ideal down-sizing of a nose with the anticipated ability for the skin to take on this new volume.

When the nasal framework is made smaller you still have the same amount of skin that has to redrape over it (no skin is removed during the surgery). Luckily, thanks to scar contracture, the skin will "shrink wrap" to some extent around this new, smaller nose over time. The thicker your skin, however, the less this can occur. If your nose is over-reduced you can be left with an amorphous nasal tip from this excess skin.