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Many thanks for the question.From the photos it seems its oily skin over the nose that is getting slowly a kind of more and more hypertrophy resulting into a bulbous tip.Treatment of this issue is simple and non surgical.You dont seem to need surgery from the limited information that I have without clinical examination.If you were my patient I will inject some Kenacort to reduce the sebaseous gland hypertrophy that will bring back the old shape of the tip of your nose.
I think that the nose can be reduced in size and refined. Cheek volume can be increased as well if you want.Kenneth Hughes, MDLos Angeles, CA
It is possible to shave the hump on your nose without an osteotomy. However, the question is whether or not you should do that. Unfortunately, you did not provide a frontal view. The challenge with shaving the top without an osteotomy is that your nose will appear wider, which may be undesirable...
I permit my patients to wear glasses immediately after rhinoplasty if they need to. I don't have any particular restrictions on blowing the nose. Nevertheless these are questions properly addressed to your own plastic surgeon.