I had primary rhinoplasty 30 years ago. He basically took the hump out & did not address width of nose or bulbous tip. I did a revision 2 yrs ago with a NYC plastic surgeon who specializes in face lifts (now realize my mistake not going to a revision specialist) he fixed the scooped out appearance & made it straight & brought nostrils closer together. He used sutures & did not take any cartilage out. My nose is still wide & bulbous & would like it smaller & more refined. I like before & after pictures of Dr. Ghavami, Dr. Frankel, & Dr. Grigoryants. I live on the east coast but am willing to travel to have it done & have it done for the last time. Any input on these doctors would be appreciated I have not had any consultations yet.