Of course, I don't have the opportunity to *feel* your nose, but the swelling should be subsided by now, especially in the tip, and even with the bridge small touch-up at four months. That history suggests that the "swelling" and fullness that we see in the tip is actually your tip cartilages, which probably could be further modified to make the tip look less broad. The clue I have here is that the tip looks low to me. If I were operating on this nose, I would want the tip elevated quite a bit from its current position. Not to make an unnatural too-Barbie nose, but you can decide whether your ideal nose is shorter than the one you have now. The reason that's a clue, is that when inadequate work is done on the tip cartilages to get the tip narrow enough, the remaining cartilage often holds the tip down, making the nose appear too long. So the goal in a revision would be to smooth the profile, elevate the tip, narrow the tip, and there may be other changes that are on your list that we can't see in the photos.
