Why is my nose still deviated 1 year post op? Will I need a revision? (Photos)

Bear in mind there is a natural and untreatable degree of asymmetry in human face, the noses are never identical on both their halves and they necessrilly do lean a bit to one side (nose means pyramid and tip, alae too).

However, your current result is below suboptimal, firstly because indeed the tip deviation, which was not an issue, now has worsened, pluse:
-inverted V and open roof, with outlined ridge in the middle due to septal exposure; no infracturing and very poor management of middle vault
-over aggressive resection of alar cartilages at their lateral cruras
-being a boxy tip with verticalized lateral cruras (aka parenthesis tip), this is untreated and even aggravated by an aggresive and undue suture plication of the tomes
-massive lack of alar rim support, leading to its collapse inwards and upwards retraction, hence the unsightly columellar show and indirect nostril enlargement

You deserve a good and comprehensive revision rhinoplasty; do research well, consult with more than a dozen professionals with solid reputation, passion for perfectionism and talent, offering you a 5-6 hours procedure with multiple grafting from the structure rhinoplasty field.

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include placement of extended spreader grafts to correct your mid-vault asymmetry., tip refinement, straightening the overall nose, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Your photographs are very limited. It looks like you have some facial asymmetry. Your nose is asymmetry, one alar is higher than the other and the nose seems to be leaning towards one side. You would benefit from a rhinoplasty revision.

Best Wishes,

Gary Horndeski, M.D.