Rhinoplasty graft is extremely crooked and flat again, will a cartilage graft (from my own body) solve the problem? (Photos)

 A full set of facial photographs from all angles and usually an in-person examination are going to be required to make a determination about how best to proceed with a very complicated procedure. Since this will be your fourth rhinoplasty, the predictability of the healing process is less than your primary rhinoplasty. Best to obtain operative reports of what was accomplished in three previous procedures so that your next surgeon may have some understanding of what was accomplished previously. It's also important to know how much cartilage is left over on the inside of the nose for potential grafting purposes.

Dear aprime,It's tough to see exactly where your nose is crooked from the pictures you postedBone grafts can shift, and not commonly performed as much as they used toIf it was to build up your bridge, then we have other options like a diced cartilage graft The crooked nose may also be due to a high septal deviation that is unrecognized (usually the lower third of the nose is crooked in this scenario)Please see 2-3 revision rhinoplasty specialists to get an idea of what needs to be done. These are not simple surgeries and require special attentionBestDr Nima

Third revision rhinoplasty?  A determination and not be made from the photos submitted. You need a full examination and a copy of the previous operative report to determine how successful they revision would be. See  several very experienced revision rhinoplasty surgeons who can show you  his results in many patients with noses like yours that he has done. .