Revisions on patients who have had an initial preservation rhinoplasty?

Thank you for your question. Assuming your initial preservation rhinoplasty was at least one year ago, you may consider a revision procedure to help you achieve your desired appearance. Revision rhinoplasty is an excellent choice for improving the wide and bulbous nasal features you describe.
During this surgery, the nose can be augmented to be more narrow and projected for a natural result that is harmonious with the rest of your facial features. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your medical history as well as your aesthetic goals.

Based on your description, you sound like a good candidate for revision rhinoplasty. The tip can be refined and better projected. Usually the patients own cartilage can be used, since in a preservation rhinoplasty, a lot of cartilage is left. The first step is to see a rhinoplasty expert for consultation and computer imaging.

Thank you for your question. The most important question is, how long ago was the original surgery? Swelling persists in the tip the longest, and the thicker your skin, the longer it takes to resolve. If it has been less than a year, I'd definitely give it more time. The good news is, changes to the tip, especially making it smaller and narrower, often require a few techniques but usually no cartilage grafting unless there is significant weakness to the structure. I hope this helps, and all the best to you.
-Dr. P