Even when I have a puffy nose, my nose is spread out, but it's even worse when I smile. I don't want to get implants, so the surgery I'm thinking about right now is non-incision nostril reduction , nose tip cartilage tying + fat removal. If anyone has tried it, please give me some advice. I tend to prioritize naturalness, so I try to avoid surgeries that are unnatural or painful. For reference, I've had many procedures to shrink my nose, but none of them had any effect. Please help.