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
