3 months post-op I am still congested. I use spray to mildly relieve it. Would I need a revision to open my nasal passages?

At three months post op, you still have some degree of swelling.  This will slowly resolve over the course of 1 year after surgery.  As the swelling decreases, you may notice a decrease in congestion as well.  If not, I encourage you to discuss this with your surgeon.

Thank you for your question. Postoperatively, after a rhinoplasty, you can anticipate bruising and swelling that is noticeable to others for 1-2 weeks. Sutures are removed at 1 week along with any internal or external splints. You will notice that your own nose is swollen for another 2-3 months. Final healing time can take up to 1 year.
Remember, each patient has variable anatomy and responds to a rhinoplasty differently. If you want to confirm that you are on a healthy road to a full recovery and that your nose is bothering you enough, consult with your surgeon. Your surgeon can evaluate your nose and inform you with what is happening.
Best of luck,

Gary Linkov, MD
Rhinoplasty Specialist
Manhattan

Although it is common to experience congestion after rhinoplasty, this usually resolves within a few weeks after the surgery depending on what was actually involved in your surgery.  You will need to see your surgeon for an examination to determine the cause of the congestion.