Opinion about my nose job? Should I do revision? So I got a nose job about 3 years ago.

Prolonged fluctuating swelling can happen for years following reduction rhinoplasty in someone with thick skin.  It is a difficult problem to treat with revision rhinoplasty.  Sometimes the skin can be conservatively thinned (some fat removed) to allow for some better definition, but this can be risky if done too aggressively (lead to uneven skin appearance).  Treatment with a course of low-dose accutane has been helpful for some patients by reducing the sebaceous component of the skin.  A dermatologist could likely help you with that option.

Hello,Thank you for your question.  This is a good example of a commonly seen post rhinoplasty concern in patients with thick skin.  At the 3 year plus mark I don't believe this is a swelling issue.  In some cases the skin can be thinned a bit, but with caution since this can result in diminishing the blood supply to the skin in that area and result in loss of tissue coverage, and, or visible contour irregularities.  I suggest that you discuss this matter with several plastic surgeon experienced with revision work.  Also obtain a full set of your images (PreOP, Post Op, and current) along with your operative dictation. Best wishes,Sergio

Only you can decide if it is worth it to you. The tip can probably be made narrower--it is not swollen any more. See several very experienced revision rhinoplasty surgeons for an evaluation as well as your surgeon.

 Even though it's been three years since your primary rhinoplasty, it's important to know more information. Have you ever tried steroid shots the tip of the nose for your thick skin? Blenderm tape is another option in addition to a low salt diet. It's best to go back to your original operative surgeon for follow-up.  The follow-up appointments are just as important as the surgery itself to manage the soft-tissue envelope swelling over the cartilaginous framework of the nose.

At three years after your rhinoplasty surgery your nose is completely healed and will not change; healing is complete. Despite your thicker skin it does appear that your tip can be improved. Consult with an experienced revision rhinoplasty specialist.