10 years post op. breathing issues, scar tissue, and deviation - Should I consider revision or am I risking asymmetry? (photos)

From the photographs presented, your nose looks very natural so be very careful about undergoing another cosmetic procedure on your nose. We perform all septoplasty, primary and revision rhinoplasty procedures with the closed rhinoplasty approach with all the incisions placed on the inside of the nose.

Hello! There are definitely pros and cons of performing a revision rhinoplasty. If breathing is bothersome, that's often a great reason. You don't necessarily need to perform any cosmetic changes. If tip work is required, it could potentially be done through a closed approach. But, I find opening the nose allows for more precise changes to be created. There's always a risk of creating an asymmetry though the risk is low with careful work. Swelling will be more limited the less that is performed. Hope this helps!