Tip of nose still bulbous and droopy, 9 months post op, will it get better? (photos)

Thank you for your question and photos. Though much of the swelling is reduced within four months, your nose will be in a phase of recovery for at least one year following your rhinoplasty procedure. It is generally suggested to wait until this entire recovery process is complete to see the final results before considering a revision procedure.
If you’re still unsatisfied with your results after a full recovery, a revision rhinoplasty can address the droopy tip you describe. It’s important to note that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history and suggest the best course of action to help you achieve your aesthetic goals.

Thank you for your question. Looking at your pictures, I can see that you still have long and droopy nasal tip, especially when smiling.Through the revisional tip plasty, you can get more aesthetically beautiful nose.Operation will include lower lateral cartilage realignment cephalically and redo surgery for columellar strut graft or more stable supporting graft using ear or septum cartilage. Slight overcorrection may be required.As for the muscle surgery, depressor septi nasi mucle, it can be determined through in-person examination.

There is a nice improvement since surgery. There may be a slight bit more contracture and upward tilt to the nose to come, but it'll be very subtle. Given your concerns with the droop associated with facial expression, small amounts of Botox (or similar) to the nasal depressors could minimize this change and give you enough of a result that you may be satisfied with this alone and not desire future surgery.

Elevating the tip of a nose is actually a complex maneuver, especially in a revision, but it certainly is possible to accomplish. See the links I posted with this response. You would want the tip of the nose high enough that it just doesn't bother you any more. A revision that just tweaked the tip up a bit and left you better but frustrated wouldn't be worth the time and effort and expense.
How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

I'd love for you to see some excellent morphs of what could possibly be done with your nose. It might make you feel better about the possibilities. Morphs help you plan your ideal goal, and help the surgeon understand what you need in order to be happy, and correlate that with what he thinks is possible in his hands.
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision. And it also discusses how to take photos that are best for online evaluations.

Often a nose that is too long will gradually drop down after surgery. A revision to shorten it may need to be done. It’s a very simple revision