What are my options with a revision rhinoplasty, could I narrow my bridge? (Photos)

Other than considering osteotomies is on both sides, I would be curious to know whether or not your surgeon utilized cartilage grafting in the middle one third of your nose. Sometimes spreader grafts can lead to a wider nasal appearance. Please consider obtaining a copy of your operative report and asking your surgeon or a second opinion what is the cause of your nasal wideness and asymmetry. You do not appear to be a good candidate for fillers. I hope this helps. Sincerely, Dr Joseph

When possible I always encourage patients to return to their original surgeon for possible revisions. Rhinoplasty in particular demands extra precision and patience. It is always best to wait 6 to 12 months after your procedure before considering a revision standardized photography is mandatory in evaluating rhinoplasty results.

Looks like the upper lateral cartilages have come in a bit during your surgery creating what we call an "inverted V". This is giving you a narrowing of the nose in the middle from the front but the top looks wide. There is also some asymmetry of the nasal bones.
A one hour revision rhinoplasty can fix this for you. Watch our videos to learn more.

You can absolutely have your upper nasal dorsum narrowed so that it reduces the width and even help with the appearance of the inverted V deformity. No certain how filler is going to remedy the issues that you are concerned with regarding your nose except perhaps to help with the inverted V deformity.

Filler is, obviously, some space-occupying material that is injected under the skin. When you do that, the area where it is injected will look bigger. That's not what you're looking for. You're looking for something to appear smaller.
It does appear that your nasal bones are wider than they need to be. They make what looks like bumps on the bridge on the 3/4 views, and if they were in a narrower position, those bumps would be less, or they would go away entirely. Width, in the bridge or at the tip, often looks like "bump" on the 3/4 views of the nose.
If you do decide to have a revision, make sure you consider whether to address any other areas, because you always want to minimize the number of operations you have. You didn't post any profile views, which would round out a surgeon's ability to understand what the nose looks like right now and to make any other recommendations.

A Closed revision rhinoplasty can accomplish narrowing and straightening your nasal bones with osteotomies to try to help with the inverted V deformity. In addition to osteotomies, we usually place spreader grafts, composed of the patient's own cartilage underneath the upper lateral cartilage in the mid vault of the nose, which also helps to widen those cartilages to match the nasal bones. It's important to know if you have any further cartilage left over on the inside of your nose, and whether or not, you've had spreader graphs in the past. You also have a small residual dorsal hump, which can be filed down as well.

To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures. If you don’t have a proper before, and after pictures and ask your surgeon to forward, the pictures they took.
Revision rhinoplasty surgery is very complex.it’s difficult to get a clear understanding of the exact changes you’re hoping to achieve and to get a good assessment of your nose we really need proper pictures.
For this type of work, I recommend avoiding virtual consultations and focusing exclusively on in person consultations. If your surgeon doesn’t think you should have revision surgery or that here she cannot accomplish what you’re hoping to achieve that it may be better to either have second opinions or listen to your provider.
Rhinoplasty surgeries, fairly complex and getting consistent quality outcomes requires a substantial degree of skill and experience. Not all plastic surgeons have that degree of skill when it comes to this procedure.
If the dorsum of your nose is wide, then in-fracturing your nose may be a reasonable second procedure.
For second opinion, consultations come prepared bringing with you a complete set of proper before and after pictures and a copy of your operative report. These should all be available from your current provider if you request them.
Best,
Mats Hagstrom, MD.