1 year post rhinoplasty, my nose tip is still hard and swollen. The graft seems to be an issue. What can be done? (Photo)

It is best to have an honest discussion with your operating surgeon regarding your concerns. Find out why the graft was used and where is was placed. Steroid injections can be helpful in terms of softening scar tissue, will begin to work in several days and can be repeated at several week intervals based on the patient's response. Grafts can be modified if appropriate--your surgeon should know if this is an option for you.

To me appears as a very conservative rhinoplasty especially in  the tip. I wonder why a cartilage graft was needed. Only revision rhinoplasty is the best option for you. Sorry. 

Unfortunately, all those questions should be addressed by you operating surgeon, as I don't know what was done internally. I do think your nose looks very good.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Depending on the extent of grafting that was performed in your nose, it is not uncommon to still have some palpable firmness in these regions. Typically cartilage from the nasal septum is used to create strength in regions the surgeon feels the need to address.  Your nasal tip and mid-nasal vault still appears to have some swelling. A steroid injection is a very reasonable treatment for this problem and starts to work within 24-48 hours. You may require several steroid injections over time and you will need to be reassessed after each injection to determine if you responded well or not. The grafts can always be removed, but that is usually if they are causing problems. If the issue is that you can just feel them, you may want to wait as the skin envelope will continue to soften over time and they may be less bothersome once this occurs.