Revision to lower and de-project tip 6 months post-op (photos)

From what you describe, as well as the photos, it does appear that th tip was pushed up with the grafts and sutures, and typically, the tip can be re-structured to give a less artificial-looking result. My caution would be about using the same surgeon. If he made a nose *that* artificial-looking, and thought it was okay during surgery, you should probably consider using someone else for the revision.

Believe it or not, a lot of the firmness that you feel in your nasal tip is simply persistent swelling. Please sit tight till your anniversary before considering a surgical intervention. Your tip may drop a couple of millimeters, and adding some volume to your bridge for a straight nasal profile appearance may also be a reasonable option other than surgery. Revision rhinoplasty surgery for tip the projection should be relatively straightforward, depending on what was performed during your primary rhinoplasty. You may indeed be correct that your Columella strut graft is a tad too long. I hope this is helpful and keep us posted. Sincerely, Dr Joseph