15 years post rhinoplasty & unhappy with droopy tip, recommendations? (Photos)

As a board certified plastic surgeon who performs many revision rhinoplasties, I hear concerns like yours frequently. The normal ageing process causes the nasal tip to droop. However, I prefer to use cartilage struts in the nasal tip to prevent plunging tips, and these struts function to prevent droopiness even as one ages. It would be irresponsible for me to diagnose you just from the photos, and an in-person examination would be needed to properly assess your situation. Certainly, revision rhinoplasty surgery that reinforces a droopy tip could be a solution. I recommend consulting in person with a board certified plastic surgeon who has decades of experience with revision rhinoplasty surgeries.

From the photographs presented, there's a hanging columella andit looks like your depressor septi ligament was not released. A revision rhinoplasty can accomplish tucking in the hanging columella and releasing the depressor septi ligament. Thick skin on the tip of the nose is going to prevent refinement in that area, so it's important to have realistic expectations.