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Please Help, Revision Rhinoplasty Needed, Bossae/Cartilage Knot in Left Tip (Photo)

Forceful6367
Hit in the nose with a baseball bat in 4th grade which led to the bone at the top left of my nose to pop out a bit. 1st rhinoplasty was summer 2017. The bone still popped out and nose tip was huge. 2nd rhino was summer 2018 with same surgeon. Tip size decreased but there's a knot of cartilage on the left side of the tip that can be moved up and down. It causes a bump on the left and my nostrils to be different sizes. Can the cartilage knot be removed/flattened or is a full surgery needed?

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