Your problem is difficult to assess from just the front view; a side view would help tremendously. However, what is noticeable is fullness in the the supra tip area and an inverted V deformity. The cause and effect are variable. For the fullness of the supra tip your may require more removal of the lower part of your septum and/or a cartilage graft in the upper part of your nose. The inverted V deformity may require spreader grafts to line up the upper bony area with the middle area of the nose. One of these maneuvers or a combination of others may be needed.
I suggest asking your surgeon what he/she thinks has happened and how an improvement can be reached.




