You didn't mention what the original goals of the operation were, but from what I see, it was probably to lower the little bump on the bridge and elevate the tip, and maybe narrow the tip a bit as well. In the final after, it doesn't appear that the tip was elevated. It might be lower than it had been. The bump on the bridge might look larger than the early post-op photo because the tip dropped some and came back closer to your face -- that would make the bridge look higher. Many plastic surgeons think that elevating a tip is a trivial task, but it's really not. It requires quite a bit of expertise. The good news is that, in expert hands, elevating a tip and lowering a bridge, even in a revision, are two of the more predictable changes to accomplish. How *much* to elevate the tip, or lower a bridge, 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.)
