Which procedure would help with swelling and changes in shape years after rhinoplasty caused by blackhead extraction? (photos)

There are many options. You likely have had thickened skin due to inflammation and repeated trauma. This can be treated with some medications for acne (e.g. accutane), with energy (e.g. radiofrequency), or with steroid shots.

Since it has been many years since your surgery, I suspect that the effects of gravity have caused the tip of your nose to droop a bit. I doubt that this is due to anything you may have done while you were in a stressful environment. It is difficult to advise you how to move forward with the limited photos that you posted. Please consider meeting with your surgeon, or with another reputable rhinoplasty specialist for advice about your concerns about your nasal appearance. I hope this helps. Sincerely, Dr Joseph

Hi , It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

It’s advisable to consult with your original rhinoplasty surgeon or a qualified facial plastic surgeon to discuss the changes you’ve noticed in your nose. They can provide a professional assessment and recommend any appropriate treatments or interventions based on your specific situation.

Best of luck !

Your procedure was done six years ago. Six years of facial aging will cause certain changes. Your pictures are still taken using different aperture’s. To make an accurate assessment on the outcome of a plastic surgery procedure especially finesse procedures like rhinoplasty surgery. We generally need to see a complete set of proper before and after pictures. I don’t see a clear indication for surgical intervention based on the information provided.
Best,
Mats Hagstrom, MD