Doctor only doing 1 spreader graft for Inverted V -- Do I need both sides? (photo)

If you're planning on pursuing a revision rhinoplasty, it may be best to address your entire nose. Based on your photos, your nose is slightly long with a droopy tip. The "inverted-V", or indentation below your small bump is noticeable on your last photo. Depending on your examination, you may be a candidate for tip refinement and rotation, along with bridge lowering for a smaller, more feminine nasal appearance. The advisability of one or two spreader grafts would require an examination.Wishing you all my best.Dr. Joseph

It is sometimes difficult to know if one will require one spreader graft, two spreader grafts, or even what is known as a "double" spreader graft for significant collapse until the time of surgery, especially if more of a hump is going to be taken down.  I would leave it up to the judgment of your surgeon as long as you have confidence in his work.  I would make sure your surgeon is a facial plastic surgeon or a plastic surgeon who specializes in revision rhinoplasty.  

The photograph demonstrates a asymmetrical nasal bones and an inverted V. with concavity of the upper lateral cartilage both on the same side. Osteotomies of the nasal bones, a right-sided spreader graft and  shaving down the dorsal hump is all that is required. For more information and many examples, please see the link and video below

A revision sounds reasonable.  It may be that during the procedure you may need spreader graft on one side or even both sides.  Good luck.