Seattle Revision Rhinoplasty doctors

It is very difficult to go in and remove rib grafts from the nose since they get tissue ingrowth and are solidified with the healing process inside the nose.  This cannot be done under local anesthesia.  It can be done through a closed rhinoplasty technique under general anesthesia and since it is a revision, it is always more difficult than the primary rhinoplasty.

Removing and trimming a rib graft through a tertiary rhinoplasty is no easy feat.  It is extremely complicated and must be done under general anesthesia, not local anesthesia.  Rib grafts tend to get tissue ingrowth making them difficult to remove, which is why it requires a major revision rhinoplasty.

There are a few causes of a hanging columella, especially after having prior rhinoplasty surgery.  It's hard to say what would be the best way to address your concerns without seeing photos of your nose but either repositioning the columellar position upward or addressing alar retraction are common steps that need to be done.

You can check out my link below to read more and treating this condition.

Revision rhinoplasty costs (including anesthesia and operating room fees) varying quite a bit depending on how extensive surgery is. In my area it usually ranges from about $7,000-12,000 total.