Javier Galindo, MD

The only option you have to improve your nose is to undergo secondary rhinoplasty. The main problem with these cases is the psychological trauma you have, that needs to be treated as well. After careful phsyical examination we can determine the problems and how to fix them. 3D simulation of posible outcomes can be beneficial to be sure of your expectations before surgery

Of course, your nasal tip can be deprojected without any graft. Most nasal tip grafts are performed to increase nasal projection. In an overprotected nose, one or either way the length of the lower lateral cartilages must be shortened, and for that purpose no grafting is regularly needed. Look for a well trained surgeon that can fix your problem in the best way, because grafting or not is not the most important thing.

After 3 months you should be breathing fine, but take in consideration that the inner nose can take up to 1 year to fully recover from surgery. If everything was done properly and your surgeon cared about the nasal function you should recover sooner or latter. 

If you really are only taking cocaine 3 times/year you should be fine to undertake the operation. Huge problems are seeing when people use this drug commonly, because the blood supply to the nose is greatly damaged. Tell your doctor about it and see what he/she thinks. 

Fat transfer under the eyes achieves a very natural result and I recommend it all the time for that arra. It's a little more invasive than restylane as it implies a small procedure and mild inflammation for several days. You can aleays try again with fillers, being volbella and redensityII the best products to avoid complications. 

Sure you are a good candidate for tip surgery. Your tip is broad and undefined, and making it a little more triangular in shape will produce a better look. I'm not aware of the prices in California, sorry. To choose a surgeon I would recommend is a Board Certified Facial Plastic Surgeon, that listens carefully to your demands and takes time to explain you the details. 

I will recommend that you have fat transfer to your upper eyelids and CO2 resurfacing to the skin of both upper and lower. That will enhance your beauty without a very invasive operation since you are very young

Not at all. We normally expect to have muscle relaxation in the first week, but is common to feel the effect at postreatment day-1.

Sure you can have alar base surgery alone, but probably the result will be less than ideal. The different parts of the nose need to be balanced to achieve aesthetic results, so a full rhinoplasty is most of the times the right thing to do.

When we need to take care of the radix it normally takes time to recover. That area is filled with muscle and soft tissue, and that takes a long time to heal.