Can a nose job improve a small, turned-up, pixie-like nose and what sort of improvement can be expected?
A turned up nose can be lengthened, derotated and reshaped depending on the result you are looking for. I suggest you have a consult with computer imaging. This will help you to better visualize and articulate what you are looking for and then allow the surgeon to deliver the changes you want. Computer imaging is not a guarantee of a result but it is one of the best communication tools for you and your surgeon.