Tip cartilage shifted after primary rhinoplasty - Would I need a revision? (photo)

As you may already know, it takes one year in most cases, for tip swelling and scarring to settle. Only at that time one can effectively evaluate potential deformity and suggest correction. I do not recommend doing anything for longer time since it will introduce new swelling/scarring complex and may further compromise ultimate result. Patience is the most difficult to ask for both from patient and surgeon but in this case it really works. Discuss your concerns with your surgeon in next follow up visit. Good luck.

Thank you for your pictures! There is a minor shift present. As you are only 4 months post op, it is still a little too early to do anything in regards to revision work as things will continue to shift over the ensuing months.  Bring this up to your doc at the next visit and that way they can set up a plan for you going forward.  Short term, doing a liquid rhinoplasty is completely reasonable and something that can be done to help correct the symmetry while your nose settles post surgery.  I hope some of this helps! 

Yes I see the shifting of the septal cartilage, though minor. I might offer Filler redo Rhinoplasty with HA filler. To avoid additional surgery and all the risks and recovery time.