Should I consider having a tip rhinoplasty in the near future? I am 69

hello thank you for your question and provided information as well... based in your question and the picture you showed you are a good candidate for rhinoplasty , in your case with technique open and elevate the tip.

Hello,Thank you for your question. Changes in the shape of your nose generally related with your skin. There are many factors that effect your skin such as ageing, gravity, the condition of your skin, nutrition and so forth. Due to a loss of elasticity in tissues at your age I wouldn't recommend you undergoing a nose surgery. To find out more please click on the attached link.
Hope it helps

When the tip of the nose is wide, it's usually due to the two cartilages that form the tip of the nose. Those cartilages can be modified to change the size and shape of the tip. The woman in the short video that I posted with this answer had her wide tip cartilages modified in her rhinoplasty.
Remember that 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. Changing the tip of the nose requires advanced techniques, requiring 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. 
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

Thanks for the question.  Although age itself is not a definite contraindication to surgery, I am not sure a rhinoplasty will address your concerns.  The skin of your nasal tip appears to be normal so the most likely cause for your tip shape is the underlying cartilage.  I would recommend a full consultation with board certified plastic surgeon to evaluate your concerns and determine the best course of action.  A tip rhinoplasty may not be adequate.

 The amount of change going to expect from rhinoplasty would be very minimal at best, so it's probably best to just leave well enough alone.

Rhinoplasties in your age group do not do well since skin is no longer elastic and pliable. Thus do nothing. 

Dear Zuzu, It is a common complaint that patients feel that there nose has grown and dropped providing them with a nose later in life that was not as cute as their more youthful nose. If it bothers them enough they will decide to have a rhinoplasty or some patients may just live with it. It really is a personal choice. In some patients a refinement of the tip alone will provide the results that they are looking for. The nose is a three dimensional structure and once you refine the tip this could set the balance off with other aspects of the nose so often times other adjustments are needed to balance your profile and overall facial aesthetic.  I would suggest that you seek consultations with some experts in the field of rhinoplasty and have imaging performed. Imaging will provide you the proposed results and once those are agreed upon the surgeon can discuss in detail with you the techniques that will be used to attain your desired result. The surgeon will also quote you a fee at this time. Review the surgeons before and after photographs to ensure expertise and natural looking results.  Best regards, Michael V. Elam, M.D.