Is my nose fixable and what is this bump on this side of my nostril? (Photo)

Revision rhinoplasty will certainly be able to reshape and create the changes that you wish for. The decision to undergo rhinoplasty is a strictly personal one, as only you can weigh the pros and cons of the recovery and financial aspects relative to how much the nasal appearance bothers you. A rhinoplasty specialist will be able to comprehensively address the issues you have with your nose. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Looking at computer-morphed images with your surgeon during consultation will give you a good idea of what is possible, and also give you a great chance to convey to your surgeon what you envision. @drdonyoo

Thank you for your question and for providing photos. The bump you’re referring to is likely protruding cartilage, which can be addressed with a revision rhinoplasty procedure. The cartilage can be shaved down with nasal rasp while the rest of your nose’s structure can be preserved, assuming you’re happy with the other aspects of your rhinoplasty results. Since each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors, the importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history and assess your concerns to determine the best course of action.

Based on your photos, you appear to have thin nasal skin and excessive nostril show. Depending on your examination, microdroplet Silikon-1000 nasal injections may be considered for nostril lowering, and for camouflage of visible tip cartilage, called a bossa. Hope this helps! Dr Joseph

PS - The attached video may demonstrate something similar to your situation. Tough to tell from your photos.

It looks *very* much as though the "bump" is part of your right tip cartilage. The tip is made up of two cartilages, one on the left and one on the right. It looks so much as though the bump is part of the right tip cartilage, which is prominently visible underneath the skin because 1) your skin is not too thick, and 2) because the cartilage is strong and has a strong arch to it. On the third photo you posted, the tip seems unnaturally sharp and prominent because we are seeing that cartilage's prominence. In a revision operation, that cartilage would be changes so it doesn't stand out and make a bump, and so that it doesn't affect the three-quarter view, except in a *good* way.
How *much* to alter the cartilage, or change that three-quarters view, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)
Remember that revision rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require quite advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. It also discusses how to tell whether your first surgeon should be performing your revision. And it also discusses how to take photos that are best for online evaluations.

Hello, to fix the asymmetry Alar base and columella reconstruction is needed. It has been 2 years and this is the final result of your rhinoplasty operation. Of course in time there will be minor changes but in general that is your nose shape. If you are not satisfied with the result you should consider a revision procedure. As far as I can see from these photos during your rhinoplasty operation, performing surgeon couldn't follow the right path.