Could a revision rhinoplasty of the tip be done in the office?

The good news is that shortening a nose is one of the more predictable changes to make in a revision. The woman in the short video posted with this answer had her nose shortened in a revision.But it's also a very complicated operation, and in my reality, not one that can be done as a teeny revision in the office.Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon, and how to tell whether your previous surgeon should be performing your revision. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I usually make computer morphs when I'm answering a RealSelf question, to show the changes that are possible for your nose with a rhinoplasty. For example see this page:FacialSurgery.com/RealSelf/RealSelf_Morphs.html
But of course you didn't post any photos.. At the *very* bottom of the "Learn more" page is a link to instructions on taking photos that are comprehensive and useful for online consultations like this, in case you'd like a more complete evaluation.

Although many smaller revisions can be done in the office, you may wish to post photos to give you more accurate information.  Tip revisions are usually performed under some type of anesthesia, as it may be too uncomfortable for you otherwise.

The tip can be revised in the office if a patient is healthy and not anxious. However, it is a surgeon's preference whether to do it under anesthesia in a surgery center or under local.RegardsDr. J

 No, a revision rhinoplasty is a  real surgical procedure performed under general anesthesia in a formal  operating room as an outpatient surgical procedure. This type of surgery is not performed in a clinic. It's very difficult and painful to get the nose even numbed up to try to attempt anything such as what you're describing. Full healing after a revision rhinoplasty is one year. Continue to do your homework

Do you mean office surgical facility?  That is where I would do most of my nasal surgery. Best of luck. 

Many revisions can be done in the office.  We would need to see some pictures to ascertain if this is the case with you.  Seek out a consultation with a board-certified surgeon.  Best wishes.

It is possible to revise the tip or shorten the nose in the office but it depends on exactly what you need and whether or not your surgeon has a sterile room in his/her complex. Many of us have accredited surgery centers with operating rooms in our offices.