Nose jobs can normally be done under local anesthetics. First, the bulb at the nose tip is easily reduced by scraping and the nostrils are easily made smaller by sone minor inside stitching.
Second you can safely replace the bridge with a silicone bridge insert that can be any shape you like. Im going for this next month, want a slight dish shape.Most peopke say I have a great nose but I can so I will.
Costs in Bangkok. Silicone replacement plus minor bulb reduction and nostrils cost USD1,000. Local anesthetic. Surgery done at Clinic.