Revision rhinoplasty - derotating the tip? (Photo)

A full set of facial photographs are required to make any determination about what can and cannot be accomplished with a revision rhinoplasty. In addition, a thoroughly internal and external examination of the nose usually required due to the fact that a revision rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery.  It may be possible to de-rotate the tip of the nose, but it is dependent upon many variables which include previous alterations of the anatomy, scar tissue, and the current position and relationships of the nasal tip cartilages

Hi Krisztina, while it is difficult to tell from your front view photo where your nasal tip is positioned, it is certainly possible to de-rotate a nasal tip downwards. The process will require placement of additional cartilage to help support the tip structures in the new, lowered position. Once positioned, your nasal tip will be less likely to drop  further down when you smile. Hope this helps.