What’s going on with my nose? I feel like the tip has dropped a significant amount (Photo)

In your last post, we didn't have these 3/4 views, and the 3/4 views often do the best job of showing the length of a nose, how low the tip sits.

I would recommend stopping the steroid injections. They can cause trouble after a while, and they cannot cause the tip to elevate. If the tip is too low for you now, after healing, then yes, you're looking at a revision. Sorry.

If you *do* decide on a revision, how *much* to elevate the tip, or perhaps narrow the tip, or narrow the bridge to take out that bridge bump we see in the 3/4 view, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.