Hello and thank you for your question. Based on your
photograph, you may benefit from a conservative dorsal hump reduction. A chin implant can be performed at the same time. I agree with you that you need to be extremely cautious of over-rotation of the tip, especially in male patients. Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
It is possible to achieve a straighter profile without having to raise the tip. Other views would be necessary to be properly evaluated.
specifically grafting to plump the columella can be done without more extensive tip surgery. What you are asking for is very possible. The front view may help to determine more, but based on profile, it is feasible.