Is It Possible to Keep Your Nose Shape, but Make the Scale Size Smaller?

It is possible to scale the nose down in total size but it will never be exactly the same nose after the rhinoplasty.  By decreasing projection of the nose it alters the relationship of your nose with other facial features, ideally making them balanced.   Narrowing the nasal bones does reduce the width of the nose and any work to the tip may cause it to be slightly upturned. 

People come in for rhinoplasty consultations with many different requests. Most relate to making their noses smaller. I have found that unless very radical changes are desired, most noses tend to look like smaller versions of where they once were or with one or two features altered such as the angle of the tip or removing a hump. In order to get a good idea of what is best for you I suggest you see a few rhinoplasty specialists and discuss your goals. I find that computer imaging is an excellent tool to assist in coming to a mutually agreeable plan.

I read your concerns. It sounds like the angle between your nose and lip needs to stay the same, but you want to have your tip deprojected so it doesn't stick out so far. This may be achieved in most cases, but you would benefit from consulting several rhinoplasty specialists to see what could be achieved in your circumstance. You may want to re-post your question, with photos, for the RealSelf community of experts to comment on.

Dr. Joseph