Lumpy tip 11 months post open rhinoplasty. Can it be improved with filler or will I need another surgery? (Photo)

I usually say to wait 12-24 months before making a final decision on a rhinoplasty, but in your case...I must agree that there is some significant deviation of the nose to your left, asymmetric nares, alar notching/retraction, flared medial crural footplates, and some midvault contour irregularities. I would recommend seeing a board-certified plastic surgeon (with a 6 year integrated plastic surgery residency and The Aesthetic Society accredited aesthetic fellowship) for a consultation. I would recommend a physical exam in person to further evaluate what is going on with the nose.

The areas of your nasal tip that you have highlighted are actually the normal anatomy of a nasal tip and not lumps. They are the domes of the lower lateral cartilages and they are not equal which gives the appearance of lumps in a thin skin individual and it is either the reason or the result of your nasal tip still being crooked. Filler will absolutely not remedy this situation but your surgeon did not do an awful job with your nose so I would discuss your concerns with them!