20 years post op - Would I benefit from revision rhinoplasty? Also considering deep neck contouring to define jaw line. (Photos)

If you are dissatisfied with your nose, you can certainly undergo revision rhinoplasty to decrease the size of the tip. You are probably a bit young for a necklift, but a combination neck liposuction plus chin implant will help push out your small chin to balance better with the nose. This combination will give you a nice straight up and down profile that looks very natural. Be sure to see a rhinoplasty expert for consultation.

I see where you are dissatisfied. The tip is still very strongly forward-projecting, and it's wide. Both of these issues can be effectively treated in a revision, in expert hands. Asymmetries can be improved a lot as well.
IMO, you're way too young to have your neck operated on. First, have the revision, *and* consider a chin augmentation. Building up the weak chin would make the nose look even less prominent, and the combination of smaller nose and stronger chin would make your neck look better, too! It's possible to show that with morphs.

The first thing you need to do, to balance your nose and improve your neck, is advance your chin. A chin implant will help make your nose look smaller and define your jaw line. This is done right in the office, and all incisions can be inside the mouth so there are no visible scars.

Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. 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. A chin implant could be performed at the same time. 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