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Is grafting necessary for my revision rhinoplasty? (Photo)

Considerate619941
After my initial rhinoplasty, my nose has a slight deviation and the tip isn't aligned. It's obvious and upsetting. Multiple surgeons suggested cartilage grafting, but I'm hesitant. My nose before never perfectly symmetrical, but now it's visibly off-center. osteotomies and tip techniques enough?

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