Is a tip lift via filler possible if I have a columellar strut graft from previous surgical rhinoplasty? (Photo)

What you drew, as you said, is an elevation of the tip. Filler isn't anti-gravity, and it can't pull things upward. Putting filler below the droop would make the droop droopier, and putting filler above the droop would make a bulge above the droop.

Getting the tip elevated would entail going under the skin to see where the graft is, find out what it's doing to hold the tip down, and make modifications to all that.

Based on your photos, I doubt that an injection rhinoplasty procedure would lead to any significant elevation of your nasal tip. I suspect you may need to have your collar strut graft repositioned, or possibly you may require a tip graft. Please consider meeting with several reputable rhinoplasty specialists to see what might be best for you moving forward. Thank you for your question. Sincerely, Dr Joseph

It's understandable that you're looking to further refine the results of your rhinoplasty.
Non-surgical rhinoplasty, or a liquid rhinoplasty, using dermal fillers can sometimes be used to subtly change the shape of the nose. However, in your case, given the presence of a graft and the hardness of the tip, this option might be challenging.
Dermal fillers add volume, and in a nose with a pointed tip, adding more volume might not give you the desired effect. It may even make the tip appear more prominent or larger.
Moreover, injecting fillers in a previously operated nose carries risks such as infection, skin necrosis, or even blindness, especially if there is scar tissue or a graft.
A better option might be a revision rhinoplasty, where the surgeon can modify the existing graft or use a different surgical technique to achieve a more lifted tip.
It's important to have a thorough consultation with a board-certified plastic surgeon who specializes in rhinoplasty. They can assess your nose, consider your desired outcome, and discuss the best and safest options for you.
Remember, every surgical or non-surgical procedure carries potential risks and complications, so it's essential to have a clear understanding before making your decision.