How soon can I get a revision rhinoplasty to fix a shortened over rotated tip?

Hello and thank you for your question. Based on your description, you may benefit from a revision rhinoplasty. Maneuvers for your surgery would include placement of extended spreader grafts to derotate your tip, among other maneuvers. Depending on anatomy, I will start revisions in some patients as soon as eight months post-op. With good surgical technique, you could likely 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

It's true that "one year before revision" isn't a totally hard-and-fast rule. We can shave it, depending on what was done, what we want to accomplish, and (as you pointed out) how rapidly the swelling goes down. But besides swelling going down, the scar tissue that forms under the skin needs to soften, too. In my practice, 9 or 10 months would typically be a minimum amount of time to wait, which may not seem so much different from a year.
It's not too late, though, to see what needs to be done. Pictures would sure help. For example, an over-shortened nose and scooped profile can actually be over-projection of the tip, and de-projecting the tip might turn out to be main change to accomplish. As I intimated, some planned operations require a longer healing time after the primary than others.