Pain 4 years post op rhinoplasty - what could cause this?

Hello and thank you for your question. If your tip is over projected, overly stiff, and overly tensioned then a revision may look better and relieve the feeling you are having. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

There is something not right. We'd revise your nose and "clean it out' of foreign materials and grafts to prevent this.