Hello, first of all, thank you for your question and pictures. The case you are mentioning is a condition where many of the facial surgeons cannot generate a solution. On the other hand, I created a solution to thatches and also named this situation 'Japanese Greetings'. If your nose moves excessively when you laugh, speak or with other gestures, I call it “Japanese greetings” Your nose becomes a remarkable element in your social communication. So why did I name the Japanese greeting because the Japanese people bow their heads forward while greeting each other, and your nose tilts their head forward as you speak, this is where the analogy stems. With the Japanese Greeting technique performed during the Rhinoplasty surgery, we can only make the nose tips as dynamic as they should be. To view cases like this, you can check out our Instagram page. The rising of the droopy look of your nose can be solved in a very simple way. All your issues can be addressed to a well-executed rhinoplasty in the right hands, you can benefit from rhinoplasty. You can achieve a functionally and cosmetically improved nose with Rhinoplasty performed with piezo technique, which is the latest. Rhinoplasty with the piezo technology will be able to protect your soft tissues and provide you maximal healing. You can visit the link below to get more information about Piezo technique. The point you need to be careful while looking for the best surgeon is the time between the before and after photos of your surgeon. The after pictures should be at least 1 years after the operation and you need to be sure that you see too many after photos that are at least 3 years after the operation. You need to seek a professional, experienced board-certified facial plastic surgeon to get the best result. Best Regards