Revision rhinoplasty for tip worth it? (Photos)

Great question and thank you for the photos!
This is a really tough question and I think you touched on the biggest concern, whether doing another surgery could potentially make things worse rather than better. Making changes to the tip is also one of the more challenging aspects of rhinoplasty as there are many factors that influence the final results including skin thickness, soft tissue thickness, overall shape and orientation of the cartilages, how the patient will heal, scar tissue, etc.
Frankly, I feel you have a really nice looking nose that fits your face. Is there some room to refine or narrow the tip? Certainly, but I do not know if it could be significantly smaller to justify another surgery unless this is something that really bothers you. If you ultimately decide to proceed, make sure you see someone who specializes in rhinoplasty and most importantly, somone you feel confident in, because I think the margins are quite thin to get a great result from a nose that already looks quite good.
Hope this helps and best of luck!Kyle Kimura, MD

It’s completely valid to feel cautious about revision surgery—especially when you’re mostly satisfied with your current result. Wanting more tip definition and refinement, particularly after 9 years, is a common and understandable motivation for patients who had their initial surgery to correct a bulbous tip.
At this stage, subtle concerns like:
-Mild lack of tip definition
-Desire for more cartilage visibility or sculpting
-A slightly thick or rounded appearance
can potentially be improved—but only through surgical revision, as fillers or non-surgical options are not suited for refining the nasal tip.
That said, revision rhinoplasty is inherently more complex than primary surgery due to scar tissue, altered anatomy, and the unpredictability of healing. A key consideration is risk vs reward—since you’re 90% happy, any revision should be approached very conservatively and only by a surgeon with extensive experience in delicate tip work and secondary cases.
In the right hands, subtle structural adjustments (such as cartilage reshaping or grafting) can enhance definition without overcorrecting. But your hesitancy is wise—any revision should have a clearly defined goal and realistic expectations.
I hope this helps you weigh your options thoughtfully. A consultation with a revision rhinoplasty specialist would help clarify what’s possible with your current anatomy.
— Güray Yeşiladalı, MD

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. You are a great candidate for rhinoplasty. Other Maneuvers for your surgery would include tip refinement, nasal tip deprojection, tip elevation, 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