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I need to see photographs in order to advise you. There are many reasons for supratip fullness. You need to see several rhinoplasty revision experts who can advise you on the best approach for your problem.
The supratip is an area just slightly above the nasal tip just before the bridgeline starts. Some patients have a convex supratip, while others have a slightly concave supratip, known as a supra-tip break. A supra-tip break is a natural defining point between bridgeline and the tip. The nose is a three-dimensional structure, so any changes made to the supratip will be noticed in three dimensions.
Supratip fullness has nothing to do with support, i.e. making your nose straight; it does have to do with making your tip less prominent as it should be lower than the tip; most often it remains higher than the tip not the lead point of the dorsum; often called polly beak deformity; to lower the supratip you must consider removal of dorsal septal cartilage, soft tissue fat.
Supratip fullness can be removed by lowering the profile above the tip or increasing tip projection. A picture would be helpful but this can be accomplished with lengthening your nose as you asked in a previous post.
Columella incision is used for revision rhinoplasties and it heals well; could you provide a photo of your swollen columella and what it is that you are tyring to achieve.
All synthetic implants carry a risk of infection, extrusion, or worse. This is especially true in secondary, or revision rhinoplasty patients. The Gore-Tex won't be so hard to remove, but a 4 mm. difference in height will be easily noticed. I would recommend using your own cartilage to replace...
It's hard to tell if you have an open roof deformity from looking at a photo, but if you are unhappy with the width of the upper part of your nose, then this can generally be narrowed with osteotomies or breaking of the bones. Rebreaking the nasal bones is usually not a big concern. Please c...