Can I get close to my old nose back? It looks like I have no bridge or tip to my nose now (Photo)

At least from what I can tell from the photos, the main problem seems to be with how overly wide the upper and middle thirds of your nose are (perhaps from the spreader grafts).As usual, I recommend patients wait a full year from their last surgery before proceeding with any revision. This allows the acute wound healing processes to settle down more fully. At that point, if it's still too wide (which I suspect it will be), then removing the spreaders and performing lateral osteotomies may be all that's required. I'm less certain that much will need to be done with the tip, though.Hope this helps,--DCPPearson Facial Plastic Surgery®

Your bridge is wider. It would help to narrow the bridge and keep it narrow during healing through special suturing. The tip can be easily projected. You need to have a better transition to the side of the nose from the tip. The spreader grafts however should stay. You already have an inverted v deformity. Do you have breathing issues. A view from below would help as well.

You are absolutely correct in that your dorsum was better before than now; the upper dorsum was inappropriately lowered. Now you will require diced cartilage graft to your upper dorsum and columellar strut graft to provide your nip more projection and definition. The good news is that we can use cadaveric cartilage that avoids harvesting your own rib for donor sites.

Your primary concern is the width of your nose as seen from the front. This may decrease over the next 6 months but i suspect you may want to do a revision to narrow the junction of your nasal bones and cheeks, narrow the mid-portion of your nose, and augment your collapsed asymmetrical tip.