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.

The stiff tip and your other concerns are not uncommon after rib grafting in revision rhinoplasty.  Wait at least 6-9 months before you assess the final result.  If necessary rib grafts can be trimmed and modified but hopefully that won't be necessary.

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.