Is It Possible to Have Augmentation in Rhinoplasty?

I actually think your nasal bridge looks nice.  Trying to build up your bridge runs the risk of leaving irregularities along the bridge which may appear as the swelling goes down.  In your case, I would not advise having this done based on your photo.

It is very common to augment a previous rhinoplasty. Using your own tissue is the best choice. This would include cartilage from the nasal septum, ear cartilage used as a saddle augmentation or rib cartilage.
A full exam would be needed to determine the extent of an augmentation. You also have to take into account any nasal airway obstruction. You may need additional cartilage grafts to improve breathing if that is the case.

Augmenting or adding to the nasal dorsum is frequently performed for both primary and revision rhinoplasty. The complexity depends on the underlying structure and strength of your nose. We can use natural substances such as cartilage from your own septum, ear or in extreme circumstances rib. Foreign, yet compatible substances can also be used in many patients.
I agree that your should seek out a revision rhinoplasty specialist. What may seem like a simple procedure may actually be more complex than one thinks. Revision specialists are used to addressing the many challenges that this procedure can provide and hopefully help you avoid needing more than one more operation.
As for nasal balance, discuss that with your potential surgeon. I like to use computer imaging to help decide together what else might help create a better balanced nose.

Hi Xy,
It is possible to augment your nasal dorsum with either your septal or ear cartilage. It is always wise to seek a rhinoplasty surgeon who is expert in revision surgery. To maintain or restore a natural look it is important to have a "supra-tip" break, a slight depression between your tip and the upper 2/3 of your nose.
Do choose your revision surgeon carefully (that is if you are not returning to your orginal surgeon).
Good luck and be well.
Dr. P

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 cartilage, and synthetic implants such as Silastic. Revision rhinoplasty is a difficult operation and made more difficult if there is no cartilage left inside the nose. It is a good idea to seek someone who has performed thousands of rhinoplasty surgeries including primary and revisions to understand the nuances of the difficult rhinoplasty procedure.