How hard is it to fix a pinched tip for revision rhinoplasty, and what are the chances of a good outcome?

Correcting a pinched nose is a common revision rhinoplasty procedure and quite routine among surgeons specializing in revisions.  Grafting of cartilage from the rib or ear may be necessary

Cartilage grafting can be very successful with an experienced surgeon.Kenneth Hughes, MDLos Angeles, CA

Overly aggressive thinning of the nasal tip cartilage can create pinching of the tip with time.  To correct this, cartilage usually needs to be harvested from the ear or rib.  However, it would be best to consult with a board certified specialist in the face who can assist you with achieving the results you seek. 3-dimensional computer imaging will also help you visualize what you may look like afterwards and what may or may not be feasible for your nose.

Yes, and experienced rhinoplasty surgeon will see this problem frequently and it's usually the result of over-zealous cartilage removal during the primary surgery.  It can be corrected with delicate cartilage grafting that will bring some harmony to the lower part of your nose.  Again, find an experienced revision rhinoplasty surgeon.

 Rhinoplasty is  the single hardest procedure to perform in the field of cosmetic surgery and revision rhinoplasty is even harder, due to scar tissue and previous alterations to the cartilage. A wide nasal tip will require cartilage grafting techniques to the tip and side walls of the nose so it's also important to know whether or not there's any cartilage remaining inside the nose to be used for grafting purposes. Look for a very experienced rhinoplasty surgeon for best results