A tip graft, a septal extension graft, and alar rim grafts are powerful ways to fundamentally change the appearance of the nose. Correction of a deviated septum should not change the appearance of the nose at all. Did you give the doctor *permission* to fundamentally change the appearance of your nose? Was that part of the plan? Also, am I hearing this right? He rebuilt your tip *because* he had extra cartilage? That never happens. You decide before surgery whether to rebuild the tip, and do that or don't do that regardless of whether there is extra cartilage after the septoplasty. Anyway, your nose looks long-ish to me, and that's what a tip graft and a septal extension graft will do. I see to elevate the tip, remove the tip grafts, try to get a natural-looking tip, in a revision operation. How *much* to elevate the tip, or adjust the appearance of the tip, or make other changes (such as the excess width just above the tip on the frontal view)? 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. 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, but if your reporting is accurate, you probably should have already answered that question.