Persistent Columella retraction. Any suggestions?

It's confusing, because I took a look at your after photos, and really, your profile looks great, except for what this columellar incision thing does to the bottom of the nose. In my previous post, I suggested that you shouldn't have your surgeon correct this, because if he thinks it's normal,...

There are many long term studies that support the use of irradiated rib cartilage for nasal reconstructive surgery. I have read these studies and still have some trepidation about using these grafts in revision rhinoplasty surgery  due to the need for good vascularity in the recipient nose and ...

MSill93,I know most of those surgeons personally and all should be able to help.  Drs. Miller and Pearlman are both great, as is Dr. Rizk in New York.In Boston, I do many of these as well and have lectured frequently on correcting exactly the problems you are having.It's unfortunate you have to ...

You make a very good overall point. Most patients with thin skin who have a revision rhinoplasty and cartilage grafting can frequently see the edges of the cartilage grafts. If you are otherwise happy with your revision, I would discuss your concerns with your rhinoplasty surgeon as there may be...

Strut length (height) and position can lead palpability and "clicking" when it encounters the bone of the nasal spine.  The strut does serve all of the purposes you mentioned though.  It helps with tip support, projection and rotation - therefore, altering the strut may impact each of those a...