Can diced cartilage grafts be taken out and smoothened? What options do I have for a revision? (Photo)

Sorry to hear about your negative outcome from your rhinoplasties. It is absolutely possible to remove the cartilage fragments from your bridge and replace them with tiny diced cartilage pieces that are glued together with Tisseel. If you check out our Instagram feed, I recently posted this technique in a video and showed a case similar to yours. By dicing the cartilage finely and gluing it together, the bridge can be augmented in a smooth, natural, and predictable way. Rib, septal, and ear cartilage are all options. In fact, some of the cartilage that’s already there could be diced more finely and included. From the photo, it appears your tip could also be made more refined. An in-person or virtual consultation would be a good first step!
Kind regards,
Dr. Mehta

Hi @ggg.ggg.ggg! I'm sorry about your poor outcome. I recommend seeing a revision rhinoplasty specialist for in person examination. There are several options for you that can be determined after examination. During surgery the area can be smoothed over with the help of piezo surgery and other techniques.

Yes, the cartilage can be removed with a revision and replaced with more finely diced cartilage placed within a fascia wrap or a solid piece of rib cartilage could be used. I would favor the finely diced cartilage which avoids potential for warping malposition or visible edges. It must be very finelyndiced. An in person consultation neither an experienced revisionn rhinoplasty surgeon and more than one opinion would be advised.