Terrified of even more complications - can I see improvements with an open Revision Rhinoplasty?

Thank you for your question. Unfortunately, most of your concerns probably won't be well addressed during an in-office procedure. When you change one structure of the nose, adjacent structures are also affected, as is the general aesthetic. I think if these concerns are bothersome enough to go through another surgery, the best would be an open approach to maximize control of structures and give the best chance of a satisfactory result. Hope that helps.
Dr. P

The feasibility of revision rhinoplasty always requires an examination. That said, you appear to have a persistently wide nasal appearance and a droopy tip appearance. Depending on your examination, and depending if you have ample septal cartilage for tip reconstruction, tertiary revision rhinoplasty may be considered. We did a tertiary revision case yesterday, and despite 2 surgeries, it was clear during surgery that not much was "done" by the first surgeon. Hope this helps. Dr Joseph

Your plunging tip is the consequence of poor support… the likely solution to this issue is a septal extension graft which (at least in my hands) is most accurately placed by way of an open approach..

Good luck…