Fillers or third rhinoplasty to fix pinched tip? (photos)

Revision rhinoplasty or fillers for pinched tip. Though fillers are the simplest, I do not think they will help with your pinched tip. Scarring will prevent filler from supporting your alae. Cartilage taken from the septum or ears is best for this purpose. Also see a very experienced revision rhinoplasty surgeon for this—one whose revisions look natural. 

The tip does indeed look quite pinched. Given the complexity, risk, and cost involved in a third rhinoplasty surgery a filler is not a bad option to consider. It may not be able to achieve 100% correction, but it could well soften the look of the tip enough that you like it. I usually suggest starting with a temporary filler like Juvederm so that the patient can try it on, so to speak. If they then liked that result, a more permanent filler such as Bellafill could be considered. All the best,--DCPPearson Facial Plastic Surgery®

A third rhinoplasty could provide a more permanent solution to the nasal appearance which looks quite operated on now.Fillers are non permanent and have to be repeated and are not without risk.Your tissues are damaged and injectables can cause further damage and are also unpredictable.It might benefit to obtain a consultation with a rhinoplasty surgeon who is experienced in secondary rhinoplasty