I would wait a bit longer for all the swelling to subside especially from the tip. After that a revision is reasonable and should not be too complicated. You need to have the cartilagenous dorsum lowered thereby allowing for a better definition of the tip.To give you a slight supra-tip dip. The tip itself may or may not need further thinning depending on the final assessment. Discuss with your originasl PS. It is alwasy best top start there.
It does seem like there is room to create a more defined, pleasing tip through reduction of the distal dorsum and augmentation/support of the tip itself.. Allow a full year for healing before having additional surgery.
Thank you for the questions and your pictures. I agree that there is room for improvement in the tip region. It seems a bit bulbous still and perhaps slightly crooked. That said, it is advisable to wait for all of the swelling and settling to occur before intervening. This generally means a year post-op, though in some cases it can be closer to 9 months. In addition, some fullness and swelling can be addressed with non-surgical treatment such as steroid injections and massage. In terms of doctor choice, it's really about trust and confidence. If you like your surgeon and you are on the same page with what needs to be done, stick with him. While you're waiting, though, I recommend seeing a couple of other consults with board certified nose surgery specialists in our area. I'm happy to help.
You would have to wait the full year before pursuing a revision, but there may be room for improvement at that time with a revision.
Kenneth Hughes, MD
Los Angeles, CA
The photographs show a dorsal convexity along the lower half of the bridge line which could represent thick skin or residual cartilage. It's important to wait at least one year before undergoing a revision rhinoplasty, so that all the swelling has subsided. Cortisone shots in the supra tip area of the nose may be of some benefit if the skin is quite swollen at this point. For many examples of bulbous tip repair and hump removal, please see the link below