4 months post-op rhinoplasty - what happened and can I fix it?

In general, it is difficult to evaluate somebody with a single up close photograph of their nose. Since you have had two nasal surgeries, it may be best to avoid further surgery which would be exponentially more difficult than the first. Wishing you well moving forward. Sincerely, Dr Joseph

While it's true that the nose tends to de-project with time after surgery, three months is a long time already, and your nose doesn't look very swollen, which indicates that the tip probably won't deproject meaningfully over the next many months. You'll probably want a revision. No, it won't be...

Thanks jerseyyam for your question! It seems that you're not quite happy with how your revision rhinoplasty turned out. You are particularly worried about the increased de-rotation and tip projection. Without visiting you in person, I am unable to give precise medical advice, however I can...

... but you didn't post any profile views or 3/4 views to really show what's going on with the nose as a whole. In general, a revision can make improvements, but it has to be planned well. Further, remember that rhinoplasty, especially revision rhinoplasty, is an exquisitely difficult operation...

Based on your photos, you appear to have relatively thin nasal skin, and a concavity along the right side wall of your nose. Depending upon your examination, microdroplet Silikon-1000 injections maybe considered for achieving a permanently straighter nasal appearance without the inconvenience...

Dupixent has nothing to do with nasal swelling. Where will they put the shot? Dupixent is used for nose problems if you have chronic polyposis and recurrent sinus infections that haven't responded to surgery. The shots are given in your belly, not in the nose. Oh, and you'll need many shots...