Thank you for the photos and your story. Obviously, the decision is up to you and should be based on how your feel about the result. That said, at one year post-op, there is likely some cartilage in the supratip area that needs to be shaved, and the tip itself could be made smaller/more shapely. Spreader grafts are used to correct an inverted V deformity, and are, in my opinion, best placed through an open approach. Best of luck.