How risk is a second surgery to define tip and narrow bridge further?

 Rhinoplasty and especially revision rhinoplasty are some the most difficult procedures to perform in all of cosmetic surgery. It's very important to look for a revision rhinoplasty specialist to minimize any risks associated with the procedure. It's also very important to have very clear expectations on what the goals are prior to undergoing a revision. The tip of the nose can be made more narrow along with narrowing the bridge line.

Every revision surgery including rhinoplasty carries more risk than the primary surgery.  It is important to realize that.  Given that she can still undergo safe revision with excellent results.  You have to choose the surgeon that you're comfortable with and has done revision rhinoplasties before.RegardsDr. J

You did not mention how long it has been since your previous procedure.  Best to also review other photos.  Best of luck.