If cartilage Is messed up on one side of the nose, How do I fix it?

A good intranasal examination is certainly need to understand and hopefully identify the cause of what you are describing. Perhaps a previously placed graft became dislodged. Returning to your original surgeon is always your best bet since he/she was already there and knows exactly what was done. Good luck.

Thanks for your question.  If your septum appears straight and you still have nasal obstruction, there are a number of causes that need to be ruled out.  Don't simply chalking this up to a nasal valve issues and the need for cartilage grafting.  I would seek out a board-certified specialist who is well-versed in functional correction of the nose.  This will require a thorough in-office exam.

Short answer: See a Facial Plastic Surgeon rhinoplasty expert for an evaluation, not just an ENT. The problem first needs to be diagnosed before it can be managed. There are many possibilities what the problem may be and hence you need to be examined in person. Spreader grafts can be placed unilaterally although rarely done. Best,Thomas Walker, MD, FACS