Revision tip rhinoplasty (10 years ago) - Would surgery help with slightly swollen / crooked results? (photo)

Based on your singular photo, we can see that you have a wide and asymmetrical nasal tip appearance. If this appearances due to asymmetrical underlying tip cartilages, then revision surgery may be considered. I hope this helps! Sincerely, Dr Joseph

Thanks Fearless574724 for your question! Your problems could potentially be resolved with a revision rhinoplasty, but it's crucial to have a comprehensive assessment by a skilled rhinoplasty surgeon. This is the reason:
-Scar Tissue: Scar tissue production is prevalent following several rhinoplasties and can lead to a bloated look, asymmetry, and crookedness. This scar tissue can be removed or reshaped with the use of revision surgery.
-Cartilage and Bone: Your nose's basic anatomy, particularly its cartilage and bone, may have changed as a result of the prior surgery. A revision operation can straighten the nose, enhance symmetry, and refine the tip.
-Risks and Considerations: Because of the changed anatomy and scar tissue that already exists, revision rhinoplasty is more complicated than original rhinoplasty. To reduce risks and get the best result, it's critical to select a surgeon with a lot of expertise in revision cases.
-Speak with an Expert: Look for a rhinoplasty specialist who is board-certified and has a history of successful revision procedures. Seek out images of comparable situations that show before and after.
-Reasonable Expectations: Talk to the surgeon about your objectives, goals, desires and worries, and make sure you have reasonable expectations for what can be accomplished.
-Comprehensive Assessment: The surgeon will look at your nose, evaluate the underlying structure and scar tissue, and decide whether revision surgery is right for you.
As a triple Board-Certified Plastic Surgeon and experienced rhinoplasty surgeon, I specialize in revision rhinoplasty. This complex procedure requires meticulous attention to detail and a deep understanding of facial and nasal anatomy. I am committed to correcting imperfections and restoring both the form and function of the nose. My philosophy is to listen carefully to the goals and desirers of my patients with a focus on patient satisfaction, I utilize advanced techniques to achieve natural-looking and long-lasting results.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

For example, what does the tip of the nose *feel* like? The more the problem is cartilage, that is, the more the current shape and size of the nose is controlled still by the tip cartilages, the more predictable it would be to narrow it. It is possible to carve out excess scar tissue, but that's harder.
Correcting frontal asymmetries like yours is difficult, too, but my optimism in a case like yours is affected by what *else* we might want to do with the nose. For example, do the other views of the nose make it look longer than your ideal? Or more forward-projecting than your ideal? If changes to the length or the projection are done at the same time, it gives more options for ways to correct the asymmetry, and the asymmetry correction usually turns out better.