Sside profile lumpy 1 year post-op - does it look like I need a revision?

If I understand your photos correctly you appear to have a pleasing nasal profile appearance one year after surgery. Depending on your examination, a dilute steroid injection may be considered for bringing down some puffiness in the supratip area. I hope this helps. Sincerely, Dr Joseph

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty to help improve the overall look of your nose. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

From the limited photographs, do you have a residual dorsal hump which is composed of both bone and cartilage. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, then you may also need some tip refinement, and you'll also need osteotomies placed in the nasal bones to close the open roof created from the hump removal itself. Digital computer imaging of your nose up on your facial features would also be helpful to understand what can be accomplished by a rhinoplasty specialist