Dear rosiecon12 in Beverly Hills, California:
You have clearly outlined your issues in prior questions and I think you have had excellent answers from myself and the other surgeons who have weighed in. if you do not wish to have the surgery, of course, that is your choice. How the nose is going to look in 10 years or so is hard to say. Sometimes noses look bigger as one gets older, but typically it does not happen until the 5th or 6th decade of life. The tissues stretch out and sometimes a nose that was not quite as long before, looks long. If you have an active muscle that pulls the tip down, that will accentuate that imperfection. It sounds like you should not wait to at least get the breathing fixed, so check into that.
Robert Kotler, MD, FACS
Over 4,500 nasal procedures performed
There are many reasons that can cause nasal obstruction on the inside of the nose. These include a deviated nasal septum, turbinate hypertrophy, valve collapse, vestibular stenosis, allergies, and chronic sinusitis. Each one of these issues is treated differently with either medications and/or surgery, after a formal examination of the internal portion of the nose.