Should I get a revision? Over-projected, wonky, asymmetrical nostrils & large on the right side (Photos)

Hello! Thank you for your question.As far as I can see from your photos you have over projected nose tip, very asymmetrical and deviated nose. For get rid of this image and gain more symmetrical, natural and elegant looking nose I recommend you revision rhinoplasty surgery. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best Regards!

In the second photo you posted the bridge looks very scooped, but it's probably the over-projection of the tip that makes it look like that, and bringing the tip back closer to the face could re-establish a good relationship between bridge and tip. In addition, however, the frontal views make the bridge of the nose, all areas above the tip, look wider than perhaps they need to be, and those areas might benefit from narrowing. And of course you've mentioned other items as well.
How *much* to narrow the bridge, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

In person exam is essential as well as review of pre-op photos+operative report . Based on limited photos it appears that symmetry is improvable as well as over-projection-through a closed technique. Revision surgeries are challenging, especially nasal- and must be performed by an experienced Board Certified Rhinoplasty Surgeon.

I will start off by saying any sort of revision is a little more difficult and recovery is a little longer. That being said, your nose is slightly over projected and you have too much nostril show. How is your breathing? Is it was worse than before the surgery? That would be a huge reason to get a revision. It sounds like your surgeon is not willing to work with you, so getting second opinions is a good thing to do. Our office provides virtual or in-person consultations if you would like to discuss things further!

Indeed, one view is different from the other which is more common that not and I agree that your tip looks overprojected compared to your dorsal bridge. The simplest way to deal with this is to have somebody who is experienced with fillers inject a hyaluronic acid type filler (Juvederm or Restylane family) to improve the symmetry (including the bridge, tip and nostrils) and decrease the overprojection. If you are happy with those results, you can graduate to a more permanent filler, such as Bellafill, later on. I feel this approach would work well for you, based on your photos, because it is simpler in the right hands, less costly with less recovery. Of course, surgery is always an option and would be the only way to improve any breathing problem you may have, if any.

I hope this helps,
best of luck !