How to Correct Upturned Tip After Rhinoplasty?

Dear Zoya,
If you post a picture, we'd all be able to give you better suggestions. Rotating the tip down is not easy, and in my hands, unpredictable. Unless you're severely over-rotated, gravity will slowly work in your favor.
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I hope this is helpful, and best regards.

There are a few techniques available to reverse an overly rotated nasal tip. Since cartilage was likely removed to rotate the tip during the first surgery, this cartilage will likely need to be replaced during the revision surgery. The best cartilage is whatever septal cartilage remains. Ear cartilage is a distant second best. There are methods of altering the position of the remain tip cartilage to de rotate the nose but these are not as powerful and likely won't be enough.

Revision rhinoplasty surgery requires significant experience and talent on the part of your surgeon.  It is not uncommon in the patient with an apparent upturned nose to have some other postoperative imbalances that need to be corrected.  Only a highly qualified Rhinoplasty surgeon can make that assessment and give you a correct recommendation.

As to the actual technique, there are a few, depending on how many nasal surgeries you had, the amount and quality of autologous cartilage, etc.  Typically some form of tip graft is required, in addition dorsal lengthening technique might need to be used, assessment and correction of nasal spine, etc.  The most important thing is that your surgeon has a clear idea as to what is causing  your apparent upturn nose and having a clear cut surgical plan and the ability to execute that surgical plan.

Lengthening a short nose requires more expertise and experience than removing a bump from the nose. Grafts of cartilage and skin are usually required and come from the septum or ear. See good before and after pictures and talk to a patient that has had this done by the doctor. My patients who have had this done as well as other experienced surgeons don't mind doing this.

Hi Zoya,
The upturned tip can be corrected with cartilage grafts from the septum or the ear.
Generally, your surgeon will find other things that can be improved during your revision. If indeed the only necessary alteration is to decrease the tip rotation, I would recommend giving the first chance to your original surgeon. He/she is very familiar with hs/her own surgical style, and may be able to easily correct such a small deformity with a touch-up procedure.
Good luck.