Revision Rhino: Goretex Removal (Photo)

I had my 1st open rhino 2 yrs ago.My nose was bulbous,bridge had a dent & tip needed projection.Goretex was used,grafted cartilage from my ear (tip) & had alar reduction.I expressed my wish for “soft, natural-looking changes”. a.Will I have an open rhinoagain to remove the goretex?Do I have other options to achieve a bridge with a soft slope?b.If the implant is removed,will my tip result to softer-looking rounder nostrils or should I ask for an alar retraction to achieve alar w/ rounder curve?

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