Why Can't I Have an Early Rhinoplasty Revision?

The reason we make patients wait 6 months or more is to let the tissue soften and return to its final shape. However, I think there are exceptions to this rule based on how far along you are in the healing process. You do not want to compound the problem. You should see a revision rhinoplasty specialist with a great deal of experience.
A short, overdone nose is a very challenging problem and should only be undertaken by a surgeon who is familiar with this problem. He should be able to show you before and after revision noses like yours.

This is a great question. Certainly the issues with your nose do not seem to be improving and in many ways are not likely to improve without revision. The reason to wait is for the nose to "settle" and for all of the swelling to resolve.  This will give the revision surgeon the best chance to correct and improve the nose, and will help you have a shorter, less difficult recovery after the second surgery. Best of luck!
 

Typically most of the swelling in the nose resolves within the first few weeks following rhinoplasty but there is a small residual amount which can take up to 12 months or longer to resolve. There is also a gradual process of contracture as the nose becomes increasingly refined, particularly at the tip. Going in too early for revision surgery is not advised because there may be other issues with the nose which haven't yet become apparent. Additionally, the surgeon may be addressing issues which are still evolving. Revision rhinoplasty is among the most challenging of plastic surgery procedures and should be performed by surgeons with extensive training in this area. It is particularly important to have patience in these cases, to optimize the chance of success when the revision surgery does take place.

You will likely need cartilage grafting to your nose which will require the skin of your nose to be back to normal to allow the nose to expand.  Seek an experienced surgeon for your revision.  Unfortunately this could cost you a great deal more than the cost of your primary surgery performed overseas.

Optimizing results with a secondary rhinoplasty requires patience on the part of the patient and the physician. Early in the postoperative course (first 6 months to one year) there is moderate swelling that may obscure full visualization of the underlying structural integrity of the nose. It is always best to wait at least 6 months to one year prior to revision. Although one year is a classically described time period, 6 months may be appropriate for specific cases.

Trying to perform a revision rhinoplasty during the healing period is like trying to hit a moving target.
The maneuvers we perform as surgeons are based upon what the nose looks like at the time of surgery; we cannot anticipate how things will end up necessarily. Thus, we may add or subtract too much, rotate too much or too little if we do the surgery while the nose is still healing.
Best to wait until this is complete. I know this is difficult to do, but to get the best possible long-term outcome, waiting is probably best. Make sure you communicate your feelings/concerns with your surgeon, who can help guide you through this process.
Hope this helps,Dr. Sam Most