Overprojected nose, elongated at 45 degree angle, asymmetrical nostrils, 2.5 years post rhinoplasty, revision? (Photos)

Hello and thank you for your question. Based on your photographs, you may benefit from a a Revision with Nasal Tip Deprojection to shorten the entire tip complex. Improvement in nostril symmetry and tip elevation can also be accomplished. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Based on your photos, I believe that your tip may appear over projected because your bridge may be a drop to low. Depending on your examination, microdroplet Silikon 1000 injections may be considered for permanently raising your nasal bridge for a more harmonious and less projected looking nasal tip appearance on oblique and profile views. Silikon 1000 may also be helpful for lowering your nostril margins on front view and reducing the amount of nostril show that is present. I hope this helps. Sincerely, Dr. Joseph