Detroit Revision Rhinoplasty doctors

I have looked at your pictures and would continue to wait for another 6 months or so. In revision rhinoplasty you necessarily are dealing with additional scarring which in turn is a cause of the pollybeak deformity. Your case although frustrating may be dealt with dilute amounts of steroid injected into the supratip region. This may be the cause as your nasal skin actually looks thick and sebaceous at your tip. If indeed the cause is a protuberant dorsal septum then a small revision can take care of this. It may be too early to tell just yet. Good luck!

For relatively minor imperfections of the nose either after an accident or during/after a rhinoplasty procedure ear cartilage is a great method to camouflage small irregularities. The patient's own tissue is always preferable and septal cartilage is a great option as well.  This material, however, almost always has to be crushed as it is a histologically different type of cartilage from the softer and more pliable ear cartilage. If you have had nasal surgery before and there is a paucity of septal cartilage, then ear cartilage is my preferred donor site for tip grafts and camouflage grafts. I also like to use either temporalis fascia or mastoid fascia for these cases as the material is quick to harvest and very easy to use. Fillers and other implants like goretex and alloderm are also used but I would not recommend using foreign material in a revision case as it has a higher tendency to get infected and extrude.