Is is Possible to Reverse a Rhinoplasty?

Rhinoplasty procedures can improve structural dimensions of the nose. In this particular case, the structural components of the nose were reduced, now necessitating a secondary rhinoplasty to build the dorsum and nasal tip back. This may require harvesting of autologous cartilage to improve structural support and is quite possible.

You could consider having an Injectable Filler treatment to add volume back to your nasal bridge, and to try to lower your retracted nostrils.
This is my best advice seeing only the profile photos you provide. Nasal lengthening is nearly impossible with revision rhinoplasty. You should keep further surgery as a last resort. Make sure any future physicians that treat your nose are expert in the art of both non-surgical and surgical Rhinoplasty.
I hope this is helpful for you.

It is not uncommon for a patient seeking revision rhinoplasty to ask for their old nose back. We can use their old photos to see what they desire but once surgery has been performed, it cannot be reversed. What we can do is rebuild the nose to restore the profile as well as other areas of the nose. I suggest you seek out a specialist in revision Rhinoplasty for an opinion about further surgery.

Not having seen your before surgery photos or knowing what was done at surgery one cannot say whether the surgery was performed poorly or the approach chosen did not cover the presenting problems. Unfortunately you cannot go back in time to where you were before surgery or reverse parts of the previous surgery. The photos you submitted only have a left side view which limits any assessment I could make. With those limitations in mind I can say that from the photos the current issues appear to be:

a ski sloping of the bridge possibly due to overresection of the dorsal hump,
an overly rotated tip (upwards so there would be more than desired nostril show on a front view),
there is some notching of the outer rim of the nostil on the left (cannot see the right nostril)
the angle between the upper lip and strip of skin between the nostrils is much greater than the male norm of 90 degrees
the chin is receded (which you may or may not want to address)

Although this recommendation would depend on a face to face exam given the limited data above it appears you would need augmentation of the bridge with a graft or implant (to address the ski slope and tip rotation #1 and #2), a skin cartilage graft inside the nostrils (to address #3), cut back of the anterior nasal spine (to address #4) and possibly some additional trimming of the lower edge of the septum. Whatever you choose to do and whoever you choose to do the revision surgery make sure you get copies of the photos from before the first surgery and the first surgery operative reports so the next surgeon has a road map to work off and choose the next surgeon carefully. You don't want to set yourself up for a third surgery.

It is very important that you see a revision rhinoplasty specialist who is very experienced in correcting problems such as yours. Look at their before and after results of noses like yours.

Hi Peter,
Sorry that you rhinoplasty results were unsatisfactory. It is difficult but possible to augment your nasal dorsum and add length to your shortened nasal septal angle. These are most advanced revision rhinoplasty techniques. Alarplasty is not reversible, but it appears that you have some lateral alar retraction that can be improved upon. It is most important that you choose your revision rhinoplasty surgeon carefully.
Good luck and be well.
Dr. P

It is impossible to completely reverse a rhinoplasty, but there are ways to build up the dorsal hump if it has been over-resected. This can be done with cartilage graft taken from the inside of the nose. If the septum has been shortened too much, extended spreader grafts can be done along with some other maneuvers in an attempt to lengthen the nose. The flaring nostrils can be reduced with alar base incisions if needed. The bridge can probably be built up several millimeters and the tip can be projected a few millimeters.

It is difficult for me to see well your areas of concern in the photos that you offered. Close-up and more clinically oriented photos would allow me to give you a better answer to your questions. Nevertheless, it seems to me that your contours can be improved with a revision rhinoplasty. It is important that you seek the services of a rhinoplasty surgeon with substantial experience in both primary and revision rhinoplasty.
In good hands, I feel confident that your desired improvements can be achieved. The surgeon, or surgeons, that you consult with can discuss the potential effectiveness of procedures in achieving the results you desire.

You have a very difficult post rhinoplasty issue. I would recommend you see Dr. Jack Gunter in Dallas, Texas for this revision.
From MIAMI Dr. B

I can appreciate your dissatisfaction with the rhinoplasty results. The areas that you complain about can be corrected in the hands of a qualified rhinoplasty surgeon. The over-resection of the dorsum can be corrected with an implant or graft, and the tip rotation can be reduced with cartilage grafting maneuvers.
Although the exact old shape of your nose may be difficult to duplicate, you are likely to have a much improved result from revision rhinoplasty.