Is There an Easy Revision of Droopy Nose After a Primary Rhinoplasty? Is It Just the Columella? (photo)

Being 18 months out you should be able to have a revision if you want one. The limited view photos you posted however are of little help. It is impossible to tell if you have true asymmetry or your head is tilted. I think I may see an oblique deviation of the bridge to the left and on the side view it looks like the nostril rim is elevated more than the columella is hanging. The tip lies 90 degrees to lip so slight upward rotation would be helpful.

The best thing for you to do is see your original surgeon first to see what he/she says. Then take copies of your operative report and photos to a second surgeon for a second opinion. There is no shortage of competent nasal surgeons in New York. Then decide what you want to do.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Droopy tip and hanging columella after rhinoplasty can be repaired using local anesthesia to correct and reproject your tip. This needs to be done by an experienced rhinoplasty surgeon who knows how to prevent the top from drooping.