Do I need a rhinoplasty revision? (Photos)

Yes, revision rhinoplasty is indeed worthy and indicated; many issues here:
-one sunken nasal bone, probably due to unilateral fracture and not bilateral (don't ask me why, it's beyond me)
-asymmetric resection of alar cartilages
-inverted V and open roof (unilateral, as corresponds with the first item)
-poor nostril support, alar rim retraction
-poor tip definition
-over pinched with suturing nasal domes on a preop boxy bulbous tip which actually required lateral crura repositioning

Seek well trustworthiness and talent for the revision surgeon.

Based on your up close photos, you appear to have a small indentation along your right nasal sidewall, and you also appear to have a bit of nostril asymmetry. Both of these issues may be improved upon with permanent non-surgical nose job treatments, which may be a welcome alternative to additional surgery. I hope this helps! Sincerely, Dr Joseph

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. Nostril asymmetry can also be corrected with tensioning the tip and placement of extended alar contour grafts . 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