With a rhinoplasty surgeon experienced in this technique, diced cartilage wrapped in fascia is a consistent, reliable, long-lasting technique for creating dorsal augmentation with excellent results. It eliminates the risks of extrusion, and infection associated with synthetic implants, and eliminates the risk of warping seen with en bloc cartilage grafts. Results are very surgeon dependent, so choosing the right surgeon is important. If surgery is not an option, nonsurgical rhinoplasty with dermal filler can be used to reshape the nose by adding volume to the nose. With regards to the tip of the nose, some degree of refinement is possible to reduce the appearance of bulbosity or width of the tip of the nose, but this is limited by the thickness and extensibility of the tip skin. Often the tip skin will only allow for a certain amount of projection and refinement with fillers. Strategic placement will often allow for rotation of the tip of the nose, but counter-rotation, or lengthening the nose, is often not possible to any significant degree with nonsurgical rhinoplasty. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Good luck! @drdonyoo