Follow-up: tip revision in huge post op nose-material for Asian patient removing implant? No pus,blood or pain in tip

Got 2nd rhino for tip narrowing/rotation using trimmed medpor graft put in ear cartilage/septum.Injured at month 3;swelled up 200%. 12 months post op; nose healed a little but basically is contoured nose the size of what I saw when tape came off. Stopped contracting/healing by month 7;more projected than pre-op nose. Surgeon refuses kenalog. What's best-fascia, rib, silastic, goretex)& where (dorsum, tip)?Want to balance"augmentation"/replacement for heavy skin w/predisposition to bulkiness

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