Overprojection and Hard Tip Resulting from Columella Strut

It is completely normal to have a stiff nose/tip after a rhinoplasty, especially after a revision rhinoplasty where a rib graft is employed.  Post operative swelling is significant for a year or more in all rhinoplasties, and more so in revisions.  The rib graft is a stiff type of cartilage which will also contribute to your symptoms.  Further, it is not uncommon for a small metal wire to be inserted inside the rib graft to prevent a common problem of these type of grafts: warping.  If this is the case, you will always have a very stiff nose/tip. 

The other issue you are describing may also need attention too: persistent hump.  If after one year you are still dissatisfied with the appearance and stiffness of your nose, a revision may be necessary.  If that is the case, removing the wire along with shaving the graft may be the remedy.

Be patient, and folllow up with your surgeon regularly.

Best of luck!

Overprojection and hard tip after rhinoplasty is normal and should go down over the next 9 months. If not it can be corrected by a revision rhinoplasty experienced surgeon. Wait at least 3 more months before evaluation.

Your experience after a revision rhinoplasty with rib graft is very common. Initially the nose feel stiff and over projected as you describe. However after a year to a year and a half I am always amazed that the results definitely improve, look more natural, and are less stiff. Be sure to consult your plastic surgeon