The depression along your profile can be corrected using fillers or your own cartilage. I strongly recommend the use of your own tissue to establish a strong feminine profile with good definition. Fillers can be used but it will be necessary to repeat this intermittently.
It's important to discuss with your perspective rhinoplasty surgeon your ideals and goals before deciding to undergo a second rhinoplasty procedure. Dorsal augmentation of the bridge line with your own cartilage harvested from the internal portion of your nose could build up the bridge. A tip plasty may also be required balance and tip with a new bridge line. For many examples, please see the link below to our rhinoplasty photo gallery
A bit of dorsal augmentation with or without tip deprojection may be appropriate depending upon goals.
Kenneth Hughes, MD
Los Angeles, CA
Based on the photographs that you have shown. I believe you would best benefit by cartilage grafting to the dorsum of your nose. You may or may not require any additional work at the tip. From the septum, the ear,or the rib
Your profile can be improved with cartilage augmentation to the dorsum of the nose. If you're having a functional breathing problem, then spreader grafting is recommended in addition to improving the aesthetic profile by placing septal or rib cartilage as an only graft. We specialize in revision rhinoplasty. I would consult with a facial plastic surgeon and review many before and afters to get a sense of the work that will be done.