Still bulbous after revision rhinoplasty. Is there any hope to fix this?

Hello and thank you for your question. I am sorry to hear you are so unhappy after your prior surgery, I truly empathize with you, as no one should feel uncomfortable in their own skin. By 3 years post-op, all the swelling should be fully resolved. A revision (tertiary) open septorhinoplasty can best address the entire nose, and is particularly effective for addressing the issues you are concerned with- there is no guarantee things will be perfect or fully back to "normal," but it can definitely make things better.
The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery, and revision/secondary procedures are even more complicated. Therefore I would recommend only going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.
Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from a description, especially if no photos are provided. I recommend for you to come see me or another plastic surgeon comfortable with rhinoplasty procedures for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Unfortunately, you have not provided photographs. However, if the thickness of the tip is related to the fat then that can be removed at surgery. However, the tip can be more defined by manipulating the cartilage.

Best Wishes,

Gary Horndeski, M.D.

In my experience, it's rare for a too-wide and too-long nose to look the same after surgery despite expert work during a rhinoplasty, or a revision. The question is, how were your cartilages handled? What was done to them? Were techniques used that had a high possibility of success, or was the surgery inexpertly performed? Was it the same surgeon who did both operations?

For most people in your position, it's reasonable to see another revision rhinoplasty, but being quite careful in selection of surgeon. If it turns out that another operation can't help you, the expert surgeon would be able to tell you that; the inexpert surgeon might just take another try.

Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.