I'm sorry. This is an example of how bad things can happen to perfectly good surgeries. In fact, an estimated10-15% of primary rhinoplasties end up requiring a revision. Yet, outcomes like yours are never truly predictable, and I'd wager that your surgeon has probably never had a graft become dislodged before. In any event, undergoing a revision rhinoplasty would be necessary to replace the graft and correct the situation. If you no longer feel confident in your surgeon, look for someone who is a veritable rhinoplasty expert, who's personal revision rhinoplasty rate is <5%, but who performs a significant number of revisions annually.
The tip and columella areas can be improved through a closed rhinoplasty approach to produce a natural result. The breathing issues will have to evaluated with the help of an exam.
Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
Thank you for your photos and the good news is that your nose can be fixed. I would contact the American Society of Plastic Surgeons and find experts in nasal surgery in your area. I would also be certain to go to a surgeon that will take your photo digitally and then alter it with your input until you see the result you desire and then ask him how it would be obtained. Tha way going into surgery you are fully informed and both you and the surgeon have the same final result in mind.