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Yes, your nose exhibits multiple deformities contributing to the asymmetry. In addition to the asymmetry of the bulbous tip cartilages, you have an "inverted V deformity" suggesting a collapse of the upper lateral cartilages coupled with a needed in-fracturing.of the nasal bones. The color variations your nose exhibits can be approached using either IPL or laser treatments.
From the Limited photograph it demonstrates a bulbous nasal tip, and an inverted V deformity and wide nasal bones. A revision rhinoplasty can accomplish improvement in all 3 of these areas. The color of the skin will be best treated with intense pulse light therapy, not surgery
Revision rhinoplasty is always more difficult than a primary rhinoplasty due to the fact that there have been previous alterations to the normal anatomy and scar tissue present. Thick skin in the tip of the nose prevents refinements in that area, so it is important to have realistic...
Rhinoplasty is addressing all aspects of the nose in the same operation. Though very often patients point out to a very obvious deformity such as a large hump or gross saddle etc .In your case you may need osteotmies to narrow bony vault ,expander grafts for middle vault reconstruction ,Tip...
The small hump can be easily filed down. The tip can be modified to improve symmetry. It can be achieved without grafting as your needs are not drastic. Regards Dr. J