1 yr post revision - lump/knuckle of cartilage in left side of nose tip causing tip to look sideways. Can it be fixed? (photo)

Hello,Thanks for your question. From the photos you've submitted it seems as if you are suffering from a twist in your tip cartilages. This is a common problem typically associated with the normal asymmetries noses can have. It is possible to revise just the tip of your nose to address this problem. It is important to understand that it won't be perfect, but it can be made a whole lot better. I would recommend an open rhinoplasty in case your tip cartilages need a thin fascial wrap for smoothness. Additionally a tip graft would help further improve the aesthetics of your blunt tip. This can be done in the office under local anesthesia. I perform over 90% of my tip surgery cases this way. It keeps costs down, it is very safe, and patients tolerate the injections of local anesthesia really well. I would recommend that you consult with a revision rhinoplasty specialist for more information. Rhinoplasty makes up 60% of my surgical volume. I'd be happy to speak with you more about your concerns over Skype/FaceTime.Good luck,Dr. Shah

Revision rhinoplasty for the unsatisfactory result. A revision rhinoplasty is needed to correct the caudal septum in your left nostril, upper lateral cartilage depressions, as well as tip asymmetry etc. See several very experienced revision rhinoplasty surgeons who can show you natural results of numerous noses they have done. 

 The photographs demonstrate asymmetrical nostrils with alar retraction on the left side,  asymmetric nasal tip cartilages, and concave area on the left side probably the result of an deficient upper lateral cartilage. A thorough in-person internal  an external examination of the nose going be required to make a determination about how best to proceed. It's important to know how much cartilage is left over on the inside of the nose for potential grafting purposes as well. Revision rhinoplasty is more difficult than a primary  rhinoplasty, so choose your surgeon wisely based on extensive experience