Am I need a revision? The result of my primary rhinoplasty with a strut graft brings me pain. (Photos)

Tightness on the tip and upper lip might be due to too strong columellar strut or septal extension graft. Direct contact of the strut or graft on the anterior nasal spine sometimes causes tightness and pain on the upper lip area. If this is so even a year after surgery, revision including removal of the graft is worth consideration. Dorsal gap is difficult to comment due to limited information. Anyway, you need to visit and get a full consultation from nearby rhinoplasty experts. Thanks.

Complex secondary rhinoplasty’s are challenging procedures that should be done with caution and to some degree with a conservative hand.
Your situation is too complex to address properly through a post on real self.
This requires an examination and thorough discussion.
Importance of choosing a highly experienced rhinoplasty surgeon cannot be over emphasized.
I suggest interviewing with multiple senior board certified plastic surgeons who is practices are highly focused on rhinoplasty surgery.
There’s a lot going on with your nose.
A second procedure may or may not relieve your pain symptoms.
Did you have fillers placed only in your upper lip?
Do you have a weak chin and this was part of what made your nose look big before your rhinoplasty.
It’s also causing your upper lip to project further than your lower lip.
If you do get lip fillers you should be careful to not treat only your upper lip.
Emphasizing volume on the lower lip will help balance this out.
If I’m wrong then simply ignore my comments.
Best, 
Mats Hagstrom MD