Handa Aesthetics & Plastics

Hello! yes you do have a bulbous tip and your nose is big for your facial profile. You will need a reduction of the nose, tip refinement as well as alar reduction. More details can be discussed when you consult in person or virtual with a plastic surgeon ,depending upon your areas of concern. Also you seem to have thick skin so that will be an additional point of discussion.

Ultrasonic device or the piezotome is a device used for doing bone work in rhinoplasty. So yes it can be combined with tip pasty. The cost will really depend on what all needs to be done and for that you need share some pictures.

Hi. You have a bony bump on the bridge of the nose. The best treatment for this will be open rhinoplasty and correction of the bump using technology like piezo tome to shave it off. You also need tip-pasty and alar flare reduction. Therefore, I would suggest you to plan an open rhinoplasty which in your case will be called reduction rhinoplasty. Also fillers will not be able to help in your case as the bony bump area is wide and out of proportion to the rest of the nose. Fillers are temporary.

Hi. This doesn't look like an inverted v deformity. However, it does look like your wide nasal bones were not dealt with completely. it will be helpful to have better quality pictures and also your pre-operative pictures for comparison. As you mentioned, that you are 7 months post-op I will suggest you to wait for one full year for the healing to complete and also for your final results to show. You also seem to have asymmetric swelling in tip area which may or may not resolve at the end of one year.

At 10 months it is very unlikely that this is swelling. However, to consider a revision rhinoplasty I would advise you to wait for atleast 1 year. Usually the swelling after rhinoplasty is symmetrical. Sometimes asymmetrical swelling also does occur but this doesn’t look like an asymmetrical swelling. It is significant likely that you will need a revision for correction. I would suggest you go to your operating surgeon and discuss the possible options.