Wide/thick columella, swollen/bulbous tip, flared nostrils, nostril show in profile. How can thsi be fixed?

Dear Rhinoquestion1,I would advise against having your third surgery done five months after your revision rhinoplasty. Post-op swelling can last up to one year and even longer for revision rhinoplasty. I recommend waiting at least one year before going through with another surgery. In addition, I would recommend getting another opinion before making any other decisions. Best regards,Nima Shemirani

Thank you for sharing your question and photographs.  In general, it takes at least 1 full year for all of the swelling to resolve after primary rhinoplasty. It takes even longer, 18–24 months, for swelling to resolve after revision rhinoplasty. In fact, the tip and nasal base takes the longest to heal. At only 3-4 months postop from revision rhinoplasty you have a lot of healing ahead of you. For this reason, you might even consider delaying the alar base reduction for a few months- consider discussing this with your surgeon. Try to remain patient and maintain close follow up with your rhinoplasty surgeon during this lengthy healing period. Good luck! Dr. Harmych

Having had 2 rhinoplasties within the last 16 months and already planning your third you are headed for dangerous territory. Be very careful about having 3rd, 4th etc. rhinoplasties because the enemy of good is better and you could end up with irrepairable damage at this rate.