Do I need a revision rhinoplasty? (photos)

Thank you for your question and photos. It appears that you would benefit from revision rhinoplasty to straighten the columella and make the nostrils appear more symmetrical. If you’re unsure about your initial rhinoplasty surgeon, it’s perfectly acceptable to search for a new one to perform your revision surgery.
When considering a revision, it’s important to know that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, assess your concerns, and determine the treatment option that may be best for you.

Generally speaking, the base view of your nose is the least important view. In that regard, it's tough to know exactly what would be best for you moving forward without seeing additional photos. Since you have lost trust in your surgeon, please consider obtaining a copy of your operative report and get a second opinion. Hope this helps! Dr Joseph

Hello !

Unfortunately, it looks like you would benefit from a revision rhinoplasty to fix the asymmetry in columella and nostrils. I would recommend to consult with an expert in revision rhinoplasty. I hope this helps,
Best of luck !

Randal Haworth