Is it safe and realistic to have a third revision/fourth rhinoplasty? (Photo)

Thanks for sharing your post. I am sorry that your revision rhinoplasty procedures resulted in the nasal deformity in your photos. From the size of your current nose, it appears that any reconstruction rib cartilage grafts placed into your nose for whatever reason were too large or poorly positioned. There may be scar tissue as well. You truly need to speak with an experience, reputable Facial Plastic Surgeon with special expertise in revision rhinoplasty for an examination and recommendations. Though complex, additional revision surgery to remove or modified your most recent rib cartilage grafts could restore your nasal appearance. If you could obtain operative reports, notes, diagrams, photos and medical records about all of your surgeries, this information may be helpful to your chosen expert in planning for your case and judging the potential risks and benefits. Try to remain positive and work toward a safe solution. There is hope! Best wishes. 

I agree with you that your nose does not look attractive; all of the nasal features that make a nose aesthetically pleasing have been eliminated; You are going to need major revision surgery; I would request a team of two rhinoplasty surgeons who have worked together in order to harvest adequate graft material to reconstruct areas that have collapsed and narrow areas that have been inappropriately widened.