Palm Beach Facial Plastic Surgery

I always suggest to my patients to do whatever is medically necessary, or more beneficial, first.  And while the appearance of your nose is very important to you, I believe improving your vision would be of a much greater benefit to you.  As for the timing, obviously you would need to coordinate with both surgeons as everyone has their specific protocols.  In addition, it depends on what type of rhinoplasty you will need, a dorsal hump removal with osteotomies, tip work, or a combination of both, etc... 

In summary, see what is most important to you and consult with surgeons you trust and hopefully you'll be able to correct both issues.

The computer simulation looks good but if it does not meet your desires you must discuss this with your surgeon prior to any further invention.  This cannot be stressed enough as your vision must match your surgeons.

You are a very good candidate but your issues are significant and very challenging to address.  Yes, you can achieve and elegant nose to match your face. Deprojecting, making the nose shorter, and the tip modifications you would need to attain this desired result are best performed through an open rhinoplasty approach.  The major issue with noses such as yours' is that it will be better after but never perfect.  It is a challenging process to find a surgeon, go through all aspects of the surgery, recovery, etc.., and have a nose that is better but not exactly what you may have envisioned.  If you understand this and trust your surgeon you can have a greatly enhanced appearance.  

The bump has improved but obviously still persists.  This can improve for several months after surgery.  Generally, after one year you have your end result.  In this instance, you can opt for further surgical shaving of the bump or you could add filler above the bump to mask it.  The latter is a much simpler process that will give you an excellent result.  The downside would be that you will need to repeat the procedure again in the future.

Five days is too early to tell whether or not the product should be dissolved.  I would suggest waiting at least three to four weeks before any other intervention.