Asymmetrical nose tip - is it possible to fix? (Photo)

Hi there! Yes, you can certainly make improvements to the nasal tip - even after 20 years. It could be scar tissue or cartilage that has shifted. An open approach to revision rhinoplasty will allow the tip to be placed precisely into a new position. It can be complicated but it depends on who does the procedure. I would speak with a Facial Plastic Surgeon to see what may be possible for you. Hope this helps.

Based on your photos, you appear to have a wide nasal tip that drifts to your left. I agree that you have somewhat of a hanging Columella on profile as well. These issues are Indeed fixable, depending on your examination. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. I hope this helps! Dr Joseph