A tiltrotor aircraft has a vertical takeoff and landing flight mode and a forward flight mode. The tiltrotor aircraft includes a longitudinally extending fuselage with a wing extending laterally therefrom having oppositely disposed wing tips distal from the fuselage. Tip booms respectively extend longitudinally from the wing tips. Forward rotors are coupled to the forward ends of the tip booms. The forward rotors are reversibly tiltable between a vertical lift orientation, wherein the forward rotors are above the tip booms, and a forward thrust orientation, wherein the forward rotors are forward of the tip booms. An aft rotor is coupled to the aft end of the fuselage. The aft rotor is reversibly tiltable between a vertical lift orientation, wherein the aft rotor is below the fuselage, and a forward thrust orientation, wherein the aft rotor is aft of the fuselage.