Revision rhinoplasty: too upturned tip & retracted columella, can it be brought down without rib graft?

Hi there! Thank you for your questions and photos. I'm sorry that you're experiencing trouble with your outcome. At 3 months, there certainly is time for the tip to drop some and swelling to settle. I often tell patients we need to wait 8-12 months before considering a revision as much will change. If you do desire a revision, you can make improvements to the rotation, length, columella, and tip. If your septal cartilage is gone, rib is the best choice because strong material is needed to hold the nose in a new position (ear won't really work). Donor rib is an option but can be expensive and is not for every patient. I would continue follow-up with your current surgeon if you're comfortable. Otherwise, seeking consultation with other surgeons may be a good choice. Hope this helps you!