Thank you for the questions and your pictures. I agree that there is room for improvement in the tip region. It seems a bit bulbous still and perhaps slightly crooked. That said, it is advisable to wait for all of the swelling and settling to occur before intervening. This generally means a year post-op, though in some cases it can be closer to 9 months. In addition, some fullness and swelling can be addressed with non-surgical treatment such as steroid injections and massage. In terms of doctor choice, it's really about trust and confidence. If you like your surgeon and you are on the same page with what needs to be done, stick with him. While you're waiting, though, I recommend seeing a couple of other consults with board certified nose surgery specialists in our area. I'm happy to help.