I'm not sure you should assume your surgeon did something wrong. Rhinoplasty is the most complex and sometimes unpredictable plastic surgery. The forces of scar contracture can make nostrils that were symmetric at surgery become asymmetric as they heal. Bone callus and cartilage scar formation can make bridges becme asymmetric and elecated. It can be a very frustrating surgery for both patients and surgeons. Also deviated septums are frequently noted at surgery and fixed if needed. The surgery becomes more complex with each revison. The fact that you had a deviated septum doesn't typical mean that a revison is contraindicated. You should clarify this worth your surgeon. You can always get a second opinion (in person)...
Emeraldp, no one can or should tell you what you need done without a personal evaluation; especially for revision work. See an experienced surgeon that does "only faces" and make sure they have a lot of good photos on their web site. Search the Internet and review the movie. Good luck!
Rhinoplasty can be executed correctly and not heal as anticipated resulting in an unsatisfactory result. Regardless the only permanent solution is revision rhinoplasty with structural grafting which may involve grafting of the tip, dorsum and columella. In your case it will be necessary to reset the caudal septum in the midline, straighten the septum and reconstruct the lower lateral cartilages to achieve improvement and symmetry. It will be necessary to choose an experienced surgeon with and appreciation for the function and appearance of the nose.
I would recommend you get another opinion if you have lost trust with your surgeon. However, rhinoplasty more than other aesthetic procedures is not entirely predictable in outcome due to the healing process. The nose has 5 major cartilages including the septum that are placed into position at the conclusion of the procedure, but are not rigidly fixed. The healing process places forces that can be asymmetric and change the appearance even in the well performed surgery, so that revisions are necessary in approximately 10% of cases even in the most experienced surgeons hands.
Dear emeraldp, If you do not trust your surgeon and the patient surgeon relationship has become fragile then I would suggest seeking a secondary opinion with some experts in the field of revision rhinoplasty. If you have a copy of your operative report and original pre-operative photographs these can be helpful to your consulting surgeon. Best regards, Michael V. Elam, M.D.
I understand your disappointment but your surgeon may not have done anything wrong. If your surgeon does not want to make any changes I suggest you get a second opinion from a revision rhinoplasty specialist.
Revision rhinoplasty for the deviated nose etc. is the only way to correct this. Get another opinion from a revision rhinoplasty surgeon.