It is impossible to prevent the nose from widening when smiling. Botox might help with this, but it would end up paralyzing the smile muscle, which is an undesirable result. The rhinoplasty operation is a static operation on the nose, which does not move. Narrowing the nose can certainly be...
Indeed, warping can occur from ear cartilage and rib cartilage. Septal cartilage does not tend to warp, bend, or bow. It is always best to have any cartilage grafting performed from the nasal cartilage first. If the nasal cartilage has been depleted, then move on to ear cartilage.
Augmentation rhinoplasty with the patient’s natural septal cartilage is the best alternative to replacing and building up the bridge. Hopefully, the cartilage from the inside of the nose has not been removed from prior surgery. Other alternatives for augmentation include ear cartilage, rib c...