Nasal tip deviation may be related to the septal deviation

The nasal tip can indeed move slowly after surgery, especially if a very deviated septum is fixed at the same time. Even with the attempts made to straighten the midline septal cartilage of the nose, sometimes the bone that the caudal (or lower) part of the septum sits in remains crooked or the cartilage itself can shift. This area,called the anterior nasal spine needs to be straightened along with the caudal septum during septoplasty. There are other things that can lead to the tip looking asymmetric such as a shifted strut graft, but by your description I wouldn't be surprised if you had a persistent deviation at the base of the nose where I described.

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Three months after a rhinoplasty is very early to critically evaluate your results regardless of the cause of your tip deviation. As you yourself mentioned, it may be differential swelling causing the appearance. At any rate, you really need to wait a full year for all of the scarring and swelling to subside before a revisionary procedure can be done.

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