How can I achieve a smaller nose without going under again?

It is unusual to have both septal extension graft and columella strut, which suggests that your surgeon tried very hard to support the tip. It sounds like the Gore-Tex implant is building the bridge projection. Removing the tip support in most instances leads to a decrease in pro...

Based on your photos, one nostril seems to collapse with deep nasal breathing. Depending on your condition and examination, you may benefit from a cartilage graft to support your nasal tip. The feasibility of this would require an examination. Hope this helps. Dr Joseph

Hello and thank you for your question and sharing your photographs. The profile suggests that the main problem is the low position of the tip defining points.  It produces an elongated appearance on site view as well as on the oblique views. On the oblique views, in photographs taken on mobile ...

Thank you for the great question. One of the major advantages of diced cartilage in fascia (DCIF) or diced cartilage fibrin glue grafts is that they don't warp. Warping is a common problem with rib grafts that are placed en bloc (as a large piece). The diced grafts don't have the same internal...

It looks like you also had some reshaping of the tip: i.e. a rhinoplasty.   Tip projection can be restored with a cartilage graft but sine your septum has been resected this would require rib cartilage.   it is possible the cadaver rib could be used.

The best way to augment the dorsum with a controlled shape is finely morselized cartilage Inam fascial wrap.   A single cartilage graft will have a high risk of edges.  Using filler to give a temporary result would help you visualize what you want.   Revision rhinoplasty with cartilage graft...