Is there any chance a revision septoplasty could fix this issue? (Photo)

Hello! Thank you for your question.
As far as I can see from your photos with revision rhinoplasty, it is possible to get the look you want, you may need to use extra cartilage from your ear or ribs because you have had surgery before.
It would be better face to face consultation.
Best Regards!

Hello and thank you for your question.

First off, it's important to recognize that complications happen to ALL surgeons, and any surgeon that does not have complications or any suboptimal results is either not operating enough or lying.

With that said, although an exam in person is ideal, from your photographs alone, I agree that your tip, supratip, and middle third of your nose is asymmetric and could benefit from a revision RHINO-plasty. In your rhinoplasty, your boney base can be adjusted to narrow and striaghten the nose, and your rigid and soft nasal cartilage can be modified by stitching, trimming, and grafting to improve the overall aesthetic. Another septoplasty would only help if you have residual breathing issues, but would not improve the actual appearance of your nose. It is important to note that due to your prior rhinoplasty, the cartilage in your septum was likely harvested and so you will likely require MTF (Musculoskeletal Transplant Foundation) aka cadaver cartilage to perform this revision rhinoplasty. If your septum is indeed still deviated and you have breathing difficulty, a revision septoplasty may benefit you as well, which can be covered by health insurance.

Once you are at least 1 year out from your surgery, the nasal skin has likely healed overall and is healthy enough to undergo a surgical intervention.

The next step for you is to pursue the right plastic surgeon for your revision rhinoplasty (and possible septoplasty). In your consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, IN PERSON, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. I also think a key component of your consultation is to establish a good connection with your plastic surgeon. This is difficulty to do without seeing your surgeon in the office, in person. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on male rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

A revision septoplasty will not fix your problem. Your problem is not septal but the problem is the bony cartilage of the nose as well as the base. You would benefit from a rhinoplasty to correct the dorsal bony irregularities, straighten the nose and decrease the width of the nostrils.

Best Wishes,

Gary Horndeski, M.D.