First did alar reduction/implant bridge w/tip.I LOVED the look,but had redness in tip of nose.6 mnths later replaced it with smaller,flatter implant,but tilted towards right,so removed it altogether.Those all closed procedurs incision right side nostril.Year later,went to"well known" surgeon.He did open, w/goretex bridge,tip was reshaped using onlay grafts frm septal cartilage.On right side,more grafting done for underlying asymmetry.My nose leans towards right and 2 different size nostrils!