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Yes, you definitely do. A revision rhinoplasty with placement of spreader grafts will correct this problem. When the they removed your humpwhich is always a combination of bone and cartilage, the removal of cartilage resulted in aVisible step off between the end of the bone a d the cartilage of the middle vault.
The photographs demonstrate an inverted V deformity Since the upper lateral cartilages are concave, and the nasal bones are too wide. Osteotomies placed in the nasal bones can accomplish and narrowing them And spreader graft placement underneath the upper lateral cartilages can accomplish widening them to improve the inverted V
I agree that you nose has been lengthened and that the septal extension graft is too large. I have successfully removed septal extension grafts in several patients to shorten the nose but have made other adjustments as well and always reinserted a columellar strut graft. Tip support with a...
You have pollybeak deformity, therefore you need a revision Surgery and of course if you have breathing problems I can solve all , same operation.
Much more information is needed, such as a full set of facial photographs from all angles and copy of the operative reports to make a determination about how best to proceed. It's also important know how much cartilage is leftover on the inside of the nose for potential grafting purposes.Medial...