Arian Mowlavi, MD, FACS (license on probation) says:
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...