Too-Straight Nose After Rhinoplasty

Actually, the answer can in some cases be "yes!" But when it is virtually impossible for any surgeon, however experienced or capable, to guarantee exactly how every patient will swell, scar, and ultimately heal and settle into a final result, how can it be your doctor's fault that it is "too perfect?" Most of my colleagues' answers include useful information, and the most important is that none of us can comment or answer as accurately and honestly as your own surgeon. After a year of healing, your nose has reached it's "final" appearance post-op, so anyone who advises that you should wait and see is only deferring having to actually assess your concern.

What I "hear" as I read your question is that you do not like the fact that your nose somehow has an "operated" look, or that "people 'know'" you have undergone cosmetic rhinoplasty. Or is this your own self-awareness that you unconsciously "telegraph" to someone you might notice admiring your nose? As in--OMG, does he/she know I've had a nose job!?

The short answer to can changes be made to make your nose less "perfect" is: yes. In fact, you may get your wish--it could look absolutely terrible! The long answer is still relatively short: relax, and ask your surgeon about a temporary filler such as one of the HAs (Restylane, Juvederm, etc.), a longer-acting filler such as Radiesse, or even hydroxyapatite granules (this requires a small, local-anesthesia procedure). If you love these results, then a small cartilage graft can be placed for a "permanent" result. But beware; asking for a change can end up giving an unanticipated disaster that neither you or your surgeon will like, especially given your present "perfectly straight" nose.

Remember: the enemy of good enough is better!

Having before and after photos would help providing you with the best overall option for treatment (surgical, non surgical, no treatment).  Discussion with your operating surgeon and imaging would be helpful as well so you can see together if you have the same goals.  Certainly a quick fix is injecting a temporary filler (HA) to create a "bump" or contour to the dorsum of the nose.  If you do not like it the filler will resorb over time or could be dissolved if you really do not like the appearance.