Help! Rhinoplasty & crooked tip afterwards, options besides full revision? (Photos)

A revision rhinoplasty with an open approach is probably the best option since it gives a clearer view as to what is causing the asymmetry. You may need more cartilage grafting to help correct the lower lateral cartilage asymmetry, either from the ear or septum.

I know it's probably not what you want to hear, but a full revision rhinoplasty is what is needed to straighten your nose. Truly straightening a crooked nose is a fairly challenging problem, even more so in revision cases. Typically, I recommend waiting until you are a year out from your primary rhinoplasty to evaluate and make a plan when the swelling has completely resolved from the prior operation, and to allow scar tissue to soften up somewhat.

Thank you for your question and photos. I’m sorry that you’re unhappy with your initial rhinoplasty results. It is best to wait a full year before considering a revision, though dermal fillers can help to temporarily alter your nose’s appearance. Once a few more months have passed, you will likely require revision rhinoplasty surgery to straighten your nasal tip and make your nostrils more narrow and symmetrical.

Please note that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, evaluate your concerns, and determine the best approach to help you achieve your aesthetic goals.