Can a Nose Still Refine 1 Year Post Revision Rhinoplasty?

Most surgeons will tell you to wait for one year to see the full potential of a PRIMARY rhinoplasty.  There is less conventional advice when it's revision.  Inm 15 year experience, I would say you can still see some additional refinement after one year.  However it's going to be minor.  Keep in mind that you have had two surgeries already, so the thick skin comment is being driven in part by a layer of healed "scar" tissue.  So things may not redrape as tightly or with as much definition as you would like.  Contemplating a second revision rhino may only make that issue worse, so don't jump to that alternative without a full conversation with your surgeon.  

I have had a few cases where the skin just did not shrink wrap to the cartilage changes I surgically refined.  The skin just was too thick, or at times reduction rhinoplasty just leaves an amorphous layer of skin without enough cartilage projection back into it to create definition.  So continually cutting or sharpening or reducing cartilage may not be the answer.  Make sure you get a few opinions.

Without knowing exactly what was done during your surgery, it's difficult to give you a precise answer.  In my experience, I would expect most of the swelling to be gone a year after a rhinoplasty.  I would not think that you would see any significant improvement after a year.