Loss of facial volume nose looks bigger, am I a suitable candidate for a rhinoplasty or a septoplasty? (photos)

Susanna, thank you for your question. To answer the first part of your question, a septoplasty will not address what is concerning you.  I agree, you have a nose that has a great profile, however, it is lacking in definition when looking at how it fits within your face.  A closed rhinoplasty would allow us to help improve the definition of your nose to give it greater contour, while maintaining an elegant profile that is unchanged.  The key would be in refining the nasal tip cartilages, as well as ensuring that they fit with the rest of the nose.  As far as the lip volume is concerned, I would recommend you start with with a light filler, like volbella or restylane silk.  Your lips are already voluminous - you don't want to go overboard! That being said, improved definition and better volume can definitely be achieved in your case, just to "plump" them a little bit and give them a youthful perk.  I hope some of this helps! Best of luck.  

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose.   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