I have a bit of a hump nose + bulbous nose + drooping-tip nose, and it is deviated externally too, and internally I have a deviated septum and inferior turbinate issues. The nasal valve is slight, so it’s not really necessary to do anything about it.
I wanted surgery without an implant, but they strongly recommended customized silicone. + They said my septal cartilage seemed insufficient, and they did not recommend autologous costal cartilage or ear cartilage; if septal cartilage is insufficient, they said they use donated costal cartilage.
Please refer to this!