Rib grafts in rhinoplasty to build up the bridge of the nose can cause unexpected problems. Any visible graft under the nasal skin can show imperfections or irregularities not apparent at the time of surgery, and rib cartilage can warp or shift, or the correction may have just been too great from the start.If the result is indeed 'horrible' there is no need to wait out the six to twelve months usually set aside for complete healing. If you trust your original surgeon he may be glad to have a second chance to set things right. If not choose wisely as secondary rhinoplasty can require a bit more than average experience.Best of luck,peterejohnsonmd