Concerned about nose tip cartilage 9 years after rhinoplasty. It looks like a piece of cartilage is poking on one side. (Photos)

Cartilage grafts can shift even after secured during surgery. I suggest you see you Operating Surgeon for continued evaluation

It may be possible that you had a cartilage graft from rib cartilage. If that is the case, then sometimes over time those cartilages are firmer and can cause some issues in the tip region. It could also be a septal cartilage graft that has shifted with time. I would recommend you see your rhinoplasty surgeon and have them evaluate you and address this issue. In either case, it needs to be addressed at some point as it will likely continue to worsen with time.

It is not unusual for scaring to distort the mobile tip cartilage years after the original surgery. See you surgeon for options. You may want to expose those cartilages and sew them in a more symmetric position. Good luck.

Thanks for your post. It appears that you have developed a nasal tip bossa of the left lower lateral cartilage, a known sequela of rhinoplasty in some cases. You may have had a similar issue with your cartilages early on and perhaps the "shave" resulted in some skin indention issues now. Fortunately, a revision tip rhinoplasty could be consider to correct these concerns. You may wish to consult with an experienced rhinoplasty surgeon, with proven skills for revision rhinoplasty, and ask for recommendations regarding how to best proceed. Best Wishes.