Asymmetric Nasal Tip. What Do You Recommend? (photo)

The asymmetry in the tip is due to congenital asymmetrical cartilages present in the tip.  Surgery will involve exploring the tip, adjusting the cartilages appropriately, and possibly sewing the tip cartilages together to narrow and make the nose look symmetrical.  Releasing the depressor septi ligament will prevent the nasal tip from drooping upon smiling.  The cost for a rhinoplasty is $7,000, which includes the surgeon’s fee, the operating room, and anesthesia for the procedure.  There is a 10% chance of having to perform a touchup at some point in the first year after the surgery if there are any asymmetries that persist after 1 year.

You sound like you are only bothered by the tip  and probably the tip going down when you smile.  If this were the only thing that bothered you the cost is about$4-5,000.  Often during a real consult patients will add other things that bother them and this adds tint and cost. 

I see your concerns in your photos. The nasal tip can certainly be helped and improved upon.  The bulbosity can be softened, the tip raised and symmetry improved. Fees in NYC vary for a tip only to probably cost about $7-10K all in.( surgeon fee, facility, anesthesia).   Good luck.