Bulge on side of nose, bumps on bridge & pointed tip following septorhinoplasty in 2017, options? (Photos)

From these photos, the bulge appears to be your right tip cartilage. When the right tip cartilage is stronger/longer than the left one, it can push the tip to the left. These tip cartilages also are responsible for holding the tip down, and it appears that the tip of your nose might sit lower than you might feel is ideal. Elevating the tip might be a good thing to do. In any case, if you are to have a revision, you should look at the whole spectrum of what you still are not satisfied with, and at least try to address all of them. If a revision were done, the irregularities on the bridge could probably be smoothed as well.

How *much* to elevate the tip, or thin the right bulge, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.