What is this thing on my nose tip that's creating ugly shadows? (Photo)

Hello and thank you for your question. What you are describing is due to asymmetry in the lower lateral Cartilage domes. This could be corrected with a revision and placement of mastoid fascia tip graft to provide better tip unification and symmetry. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon