Patrick Simon, MD

Irishrose,

It appears that you have done some thorough research and discovered one of the basic truths of plastic surgery: namely, that there are so many variables to healing tissues, particularly in a three dimensional structure like the nose, that even the most talented and most experienced surgeon could never guarantee a perfect outcome.  My advice is to find a surgeon who can show you real outcomes that he or she has produced, find one who's personality is agreeable with yours, and set your expectations toward something achievable.  Then you can be overjoyed with an outcome that approaches perfection, satisfied with one that achieves your goal, or finally have a good personality to work with if a revision is necessary.

Best of luck.

An examination would be necessary to give you treatment options with confidence, but often these small dorsal irregularities can be smoothed out under local anesthesia in the office.

It is difficult diagnosis with certainty without examining the nose, but you appear to be developing supratip fullness.  This has been callously named "pollybeak deformity," and is well described postsurgical phenomenon usually secondary to excessive scar formation in the supratip.  I would suggest you seek evaluation by your surgeon.  At 2 months a simple treatment with steroid injection can stop and reverse the process.

For a cash price that is reasonable.  Ptosis surgery can also be covered by insurance.  I would recommend having your visual fields tested by an Ophthamologist.  If the fields are restricted by your ptotic eyelids, then most insurance companies will pick up the tab.  

It difficult to advise you based on this picture.  It could be just swelling, or it could be a hematoma.  You should call your physician's office and be seen if you're concerned about healing or complications.