Is it realistic to believe there's hope for getting rid of this massive polly beak of mine?

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_andrew1011.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.I elevated the tip and reduced the height of the bridge, lowering the "pollybeak."Have you had surgery before? Usually, we use the term "pollybeak" to describe a complication from previous surgery. Many people, however, have a natural prominence in the lower part of the bridge, above the tip, where yours is.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon, and how to tell whether your previous surgeon should be performing your revision. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns?
Your nose is also a good 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. When you see his goals, 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 enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery. 

It is possible to correct the polybeak and improve the appearance of your nose with or without grafting. That depends upon how much height is needed to your tip complex whether a graft is needed or not. A graft can add support or elevate the tip of the nose depending upon its placement which may or may not be necessary. If the polybeak is the result of previous surgery, then less surgery may be required. Poly beaks in general are caused by an overly high septal cartilage, heavy weighted skin with tip ptosis or drooping tip and sometimes scar tissue in heavy or thick skin. These are the factors that can contribute to the success of the procedure. I would see a rhinoplasty expert in your area.

First, you didn't state if you had surgery before. Polly beak deformities come from a number of causes. For primary rhinoplasty it's most commonly from either too high cartilage in the top of the septum above the tip and/or a weak nasal tip. Revision surgery adds the presence of scar tissue and over reduction of the bony part of the nose. Either way, they can be fixed. A single photo will not suffice to give specific recommendations but a number of the procedures you mentioned could help. In skilled hands, a good outcome is very achievable.

A rhinoplasty will correct this by removing some of the dorsal septum and bone that makes up your dorsal profile.  In addition, I would recommend reducing some of the tip projection as well.  

You are a very good candidate for an open structure rhinoplasty. The results and predictability areexcellent in the hands of an experience expert in rhinoplasy. Find and consult with a surgeon you can have confidence with their results.

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty.  You may also benefit from a cephalic rotation
of your tip to turn up your tip slightly.  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. FACS
Harvard-trained plastic surgeon

The good news is that this is one of common challenges in rhinoplasty - especially after previous surgery.  I would expect a high probability of a successful correction!Fred G. Fedok, MD FACS

Thank you for your question and photo. You are a candidate for a rhinoplasty with tip refinement. Yes, this can be done using an open technique with cartilage grafts And have long lasting results.I recommend you consult with a board-certified plastic surgeon to discuss your goals, examine you, do a virtual consultation if you are from out of town, do a virtual simulation, and show before/after photographs to give you a better idea what type of result you can expect to get. Good luck!

In person exam is essential. Based on the limited photo- it appears that you are a good candidate for Reduction Rhinoplasty through closed technique. Be sure to see an experienced Board Certified PS for in person exam, to discuss all the detail of the surgery.

There are a number of causes of a polybeak. Classically plastic surgeons are referring to a nose that has had too much tissue removed from the dorsum or bridge and a tip that has fallen. The photo you have shown suggests very full and fallen nasal tip cartilage. This is beautifully corrected with a rhinoplasty. When there is significant tip work my preferred approach is an open rhinoplasty. This approach significantly improves accuracy . A more detailed exam is necessary to plan details.