The best way to decide if you're a candidate for a revision rhinoplasty is to visit with someone who specializes in revisions. I'm not aware of the surgeons on the west coast too well but I can say that it's safe to have a revision in most cases. It really depends on what was performed during the last surgery and what you have now as well as the experience of the surgeon as to whether it's a good idea.
A secondary rhinoplasty is completely normal. Maybe patients undergo a secondary or revision rhinoplasty in as little as a year from their initial rhinoplasty. Some patients may be afraid of a second rhinoplasty in fear of damaging their nasal structure or looking “done”. As a board certified facial plastic surgeon, I can assure you that many patients have a second nose job without any complications. It is important to consult with a certified facial plastic surgeon about your second rhinoplasty. He/she can analyze your nose better and recommend the best next step.
Rhinoplasty procedures actually have a high incidence of revision and secondary procedures. Whether a second procedure for you is appropriate should be discussed with your next surgeon to evaluate the current results, if improvement can be expected, and if long term results will be worth the risk of another surgery. Ask about the surgeon's credentials, experience in practice and look at his or her portfolio of results from past patients. Be very specific in what you like and don't like about your nasal form.
Revision rhinoplasty will certainly be able to reshape and create more definition to your nose. The decision to undergo rhinoplasty is a strictly personal one, as only you can weigh the pros and cons of the recovery and financial aspects relative to how much the nasal appearance bothers you.
Since revision rhinoplasty is one of the hardest operations to perform correctly in the entire field of cosmetic surgery, a full set of photographs and an in-person examination are required to make a determination about what can and cannot be accomplished. Choose a very experienced rhinoplasty surgeon for best results. Digital computer imaging would be helpful to understand what can be accomplished with the secondary procedure. For more information and many revision rhinoplasty before and after results, please see the link and the video below