Overprojection and Hard Tip Resulting from Columella Strut

By definition, the rib graft to the dorsum will be stiff in order to provide the support to the bridge after revision rhinoplasty. The rib cartilage is the least 'natural' of cartilage graft material, and can feel or behave much like a nasal implant, though the results over time are far better. Your nose may indeed be over grafted and the aesthetics may be 'all wrong'. Despite all this, it is best to wait it out six to twelve months and let the grafts settle in. Revision may be the answer but the graft will offer a working framework to soften and adjust the result.
Best of luck,
peterejohnsonmd

After a rib cartilage graft and placement of spreader grafts, especially in an open, revision case will almost always result in a firm nose which may feel overprojected. Swelling will tend to build up in the tip area and can take up to two years to completely resolve. You should start noticing some softening of the tip over the next few months. I would not rush to perform any revisions before the swelling has come down. For revision nose surgery, the nose is often weakened from the initial procedure and rib cartilage used to add structural support to avoid further weakening and possible collapse in the long term.