I had a pointy downward nose. I had rhinoplasty. My nose is very long and still pointing downward. What can be done? (Photo)

Yes, it appears that your tip still needs to be raised and rotated. Without lateral views, it's hard to say if the bridge needs to be raised, but it certainly looks like the bony bridge was reduced. Since the bridge is a minor support structure for the nasal tip, it is easy to see that reducing it could make it more difficult for the tip to remain raised. Otherwise, there are several powerful techniques that we use to raise, rotate and stabilize the tip. And making it less angular and rounder is also pretty straightforward.

You have a common outcome of rhinoplasty where the dorsum was lowered (easy) bit the tip was not deprojected which many surgeons find more difficult.   You need to wait 12-18 months before  revision for optimal results, and choose a surgeon who can show you before and after pictures of noses similar to yours.   Also rely on reviews credentials and ample examples of experience with revision rhinoplasty.