I had an open rhino a year ago with osteotomies to remove a bump and tip work, to turn it up. I am not happy with the results, mainly because the tip is still droopy, but I also have an inverted V (which doesn't really bother me). I've seen two surgeons for a secondary rhino: one of them told me I should work on the V, with spreader grafts and use cartilage from my ear for a strut. (short septum). The other, very experienced, said I could do simple tip work, with septum cartilage. What to do?
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