If this is your final result, nothing to worry about
your photos are your final result, please, give my congratulations to your
doctor. From your pictures I found nothing to worry about.
Your surgeon used a very common method to provide support for the nose. Best of luck with you results.
The only way to add to lengthen the nose is by adding cartilage which is taken from the septum. He did the right thing and your results are great.
My surgeon used a large part of my septum to change the nasolabial angle
This is entirely conventional. If you feel that you need a second opinion, seek an in person consultation. It is highly unlikely that your surgeon chose to place a cartilage graft that was unnecessary. Most likely, this was required to support and position your tip after removal of the silicone implant. I hope this information is helpful for you.
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
Thanks for your question. First I would say from you profile pics your surgeon did an excellent job. Counter rotation of the nasal tip is one of the most difficult techniques in rhinoplasty surgery. To answer your question yes it is very customary and in fact preferred to use septal cartilage. In my opinion you should be very great full that you found a surgeon skilled enough to be able to make the changes you desired with only using septal cartilage. It is a much preferred method to changing the nose than using foreign bodies like silicone implants. In my opinion you have much more reason to be thankful than concerned about your surgeons technique. Hope this helps.