Reshape bone below onlay graft?

Hello and thank you for your question. I don’t use solid onlay grafts as they frequently have contour irregularities, mobility, and problems. When placing an onlay graft, I prefer diced cartilage wrapped in fascia. It usually has a much smoother longterm contour. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon