I've had two: the last one being in early March. Originally, I also had a bulbous tip and a bump in my nose (from an accident when I was little)
The first operation worked well initially, but because I had a deviated septum to start with, the bump reappeared on one side after a few months which is why I needed it done again. After the first op I was suprised by how little pain, swelling, or bruising there was, the second one was much more invasive however and by God, I looked and felt so much worse. (this time the sugeon needed to break my nose during the op, and revisions are always much more complicated because of the scar tissue)
Rhinoplasty is apparently the most complicated of all cosmetic procedures and the one where there is the highest chance of the need for a revision (even if you have no previous damage to your nose) so I'd say that its very important to take this in to consideration when you're selecting a surgeon and hospital: the entire cost of my revision was taken on by the cosmetic group I went with, but I've come across lots of people (online) whose surgeon costs for the revision was free but they still had to pay the hospital/ anaesthetist costs (around £1000).
Please also bear in mind that there may be limitations to the final result, we can never just select a nose and expect to end up with that exactly. Everybody's noses and faces are different, and a good surgeon would be keen to make sure that the final result would be still in line with your other facial features.
FWIW, I went with the Harley Medical Group and my surgeon was Dr Solomos. I was very happy with him, he was lovely and took loads of time listening to me about exactly what I wanted and talking through the procedure. They don't generate an image but he stood me in front of a mirror with a peice of card showing me where the reductions would be to give me an idea. The total cost to me was £4000.
Despite all my doom and gloom talk, I'm finally very happy with my nose (I spent so many years hating it and feeling miserable) so I would definately recommend it, it's just that of course it takes a lot of thought.
HTH 