2 very different consultations, which approach should I go with?

Hello @filipinaqueen33 thank you for your question. A consultation is key to know for sure showing just the nose area and giving you recommendations just based on them is not posible, because the nose makes part of a whole. From the little I can appreciate I suggest a rhinoplasty to modify the nose and make the nose more defined and harmonious with over all face. When it comes to the question of what changes can be made during a nose surgery, there's no one-size fits all approach. The goals of a nose surgery are individualized according to the characteristics of each patient. When reshaping the nasal structures, I suggest one or more of these procedures be performed: Reducing the length of the facial tip, Straightening out bumps on bridge; reducing length and size while correcting breathing problems. Best wishes!

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Most plastic surgeons like to perform lip lift procedures at a separate time. Best wishes to you.

I think the bridge has to be lowered to get the effect you want. A tip graft alone will just look odd.