My nose did not "shrink wrap" in my first rhinoplasty. What do I do to keep swelling and scarring to a minimum during revision?

It's hard to tell what's going on without seeing photos or examining you in person. However, I'd be willing to bet that the framework (cartilage mostly) was reduced too much didn't the first surgery.  Even thin skin has limits in terms of how much it can conform to a reduced framework.  I suspect you will need the cartilage in the tip rebuilt to stretch the skin and restore highlights.   Discuss this with your revision surgeon. If this concept is not part of the discussion, you need to get a second opinion.  

In general, "shrink wrap" after rhinoplasty may not be favorable. "Shrink Wrap" refers to thin-skinned patients who see visible irregularities after rhinoplasty due to the skin contracting too much over a reconstructed nasal skeleton. Consider re-asking your question with photos since it's not clear what you are looking to achieve. Thank you. Dr Joseph

I read your post to the forum, too. You need to re-evaluate your surgeon as well. You're right that awards usually mean nothing. Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Any revision operation requires advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision. And it also discusses how to take photos that are best for online evaluations.
A revision situation is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?