Dear Rose1333, Thank you for your clinical post and photograph. From the photographs that you have provided there is a slight nasofacial imbalance with a strong dorsal hump to the nose and a slight hanging columella. There was no front view provided so one cannot comment on the relative length of your nose, proportion to the forehead and chin from the front view nor on the width of the tip or bridge. Your chin itself is strong but not over projected especially in repose when you are not smiling. I’ve been performing rhinoplasty and chin and facial skeleton surgery for over 20 years. I was fortunate to be trained in both plastic surgery and ear, nose throat, head and neck oncology. I find that computer imaging helps patients visualize the type of improvements they are likely to achieve. After almost two decades I’m very good at achieving very close to the computer imaging that we discuss. In general, I think a reduction rhinoplasty with a reduction of the bridge are an improvement in your hanging columella, what you call a bump under the nostrils and a probable narrowing of the nasal tip and bridge will provide much more feminine nasofacial contours. I don’t believe following this you feel that your chin is over projected, however, could certainly perform a reduction genioplasty or chin reduction once your nasofacial contour and proportion has settled usually at one year. This stage approach is more conservative, prevents unnecessary surgery and more important aesthetic errors in judgment on chin, cheek, nose and face balance. The range of reduction rhinoplasty prices in the city often reflects the experience and the reputation of the physician, but in general reduction of the nasal bridge as well as the tip with shortening will cost between $6,000.00 and $8,000.00 in most practices. As the nose is reduced breathing surgery will often need some adjustment and a septoplasty or improvement in breathing needs to be performed at the same time. Some physicians still perform the septoplasty in a hospital environment and your anesthetic is covered, however, you’ll still have to pay the surgeon between $3,500.00 and $5,000.00. This part in and out of OHIP approach is less common than it used to be, but some physicians still rely on reducing the cost of the patient by burdening the Ontario Health Insurance Plan with the functional component of the surgery. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto