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Yes. Likely need open rhinoplasty with rib cartilage graft. Look at the genioplasty patient in my profile. I think that will help.One caveat with regard to you photo and your goals. Your skin is a littler thicker at the ala region. That is an area that can not be thinned as much as in your goal photos. Otherwise i think your desires are achievable.
You would need dorsal and tip augmentation to help achieve a nose more similar to the goal pics.These maneuvers can be done through a closed rhinoplasty approach without a visible scar to produce a natural result. Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
Your nose can be thinned and refined but the thickness of the skin cannot be changed. Having said that see a rhinoplasty expert because your nose can be improved.
Based on your photos, you should get your desired result with a closed Rhinoplasty. An exam is needed to discuss your goals and expectations. Consult with a Board Certified Plastic Surgeon for a clear understanding of what is possible for you.
Its hard to say without an exam, but some areas of minor pink and pinpoint crusting from dry blood are norma after rhinoplasty. Stay the course and follow the instructions of your plastic surgeon.
It sounds from the large amount of swelling you had immediately post op, you will take longer to settle the swelling down. The nasal tip swelling is usually the last to go. Go see your surgeon as often Kenalog can help the tip swelling to diminish faster.
First, no rhinoplasty is perfect and some deviation is inevitable with all septal work because no one can get it perfectly straight. In addition, at 4 months you likely still have swelling. Best to see your surgeon to discuss if concerned.