Is this an inverted v deformity?

It looks like there has been some alteration of the later cura of the lower lateral cartilages such that there is less support of the ala.  This gives the deep crease which makes the tip seem larger, affects the nostril shape, and contributes to the shorter length.  All of this needs to be c...

Firstly you need a surgeons who specialises in rhinoplasty as the majority of their practice. In general this sort of surgeon will have significant experience with rib graft use and be able to explain the benefits and limitations

I recommend that you wait another 7-10 months before considering another operation.  A revision takes longer to heal, you had extensive work with multiple grafts 5 months ago, and you have several problems. I'm sure you're frustrated but you must be patient so the next operation is the last.

The bone can be rasped under local anesthesia to reduce the residual hump.  A poly beak is a very, very unlikely complication of this procedure. However, increased width of your bridge is possible if a significant amount of bone is removed without doing osteotomies to reposition the nasal bones.

Thank you for your question and I'm sorry you're nervous about your result. I recommend you discuss this with your surgeon, as he/she knows best what done during your surgery. I certainly see your concern, but you cannot make any judgements so early on in the healing process. The nose, i...

Hi Christina, you do appear to have some columellar excess.  This can be corrected by either raising the columella higher into the nose or by lower the nostrils down on the sides, or sometimes by doing a combination of both.  It's probably best to have an in-person consultation for accurate a...