How can I fix my crooked septum post rhinoplasty-11 years?

Your photos show an asymmetric tip with the left tip cartilage shifted upward and forward relative to the right tip cartilage. It is hard to see from the photo if the septum is deviated and if so to what degree. That will require a speculum exam for evaluation. Unfortunately your right maxilla is retruded so there is no quick/simple fix and it is not clear from the photos alone what the minimal work required would be. An open rhinoplasty is the most reliable way to realign and make the tip cartilages more symmetric. However, if the bone base on which the nose sits is tipped just working on the tip would appear futile. If this is a progressive problem and you have been losing bone on the right you will need imaging studies before any surgery.I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery especially with the limited view photos you submitted.My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

Hello,You should be seen by a few surgeons expert in revision rhinoplasty to evaluate you nose and discuss your options.  A revision rhinoplasty/septoplasty can potentially improve the appearance of your nose. Best of luck!

Revision septoplasty for crooked septum? I would need to examine your nose to see if a minor adjustment is needed on the part of the septum in your nostril is needed or a full septoplasty if your septum is deviated inside the nose. 

I believe a face to face consultation would be best to discuss your concerns. Majority of the deviated noses result from deviated septum both before and after surgery. Revision must address this problem. Good luck

Hello Seasan, thank you for your question. Over time, there are various changes that may occur following a rhinoplasty or even naturally in our noses. I would consider an in person evaluation with a surgeon experienced in rhinoplasty, to see the degree and cause of the obstruction and to discuss your options. 

Your right alar rim looks weakened. All you have to do is consider placing an alar rim batten/contour graft that can be taken from your ear. this can be done under local anesthetic. Since the rest of your nose looks great, I don't feel that a formal rhinoplasty would benefit you.

Dear Seasan, A deviated septum would need to be diagnosed with an intra-nasal examination. You also have some asymmetry in the tip and a hanging columella that could be addressed to improve the appearance of your nose. Seek consultation with some experts and after examination all of your options can be discussed in full. Best regards, Michael V. Elam, M.D.

Crooked septum post rhinoplasty. You do have some septal deviation but also asymmetry of your nostrils and a hanging columella (the strip between your nostrils) which could be improved at the same time. This can all be clarified with an examination..