Will the periosteum removal affect the health of the remaining tissue?

Treating pain can be unpredictable. It may be that scar tissue or changes in the nerves following your rhinoplasty are contributing to pain. Sensitivity to cold can also be an issue. However, it is often very difficult to develop a predictable treatment plan in the absence of identifying the cause of your nasal pain. The very act of surgery itself and the creation of an inflammatory response may alter your pain symptoms, but again this is unpredictable. There are some potential other options that you may consider prior to having any surgery. One is the use of Botox in the area of sensitivity. There have been reports of Botox being injected for pain in other areas of the body including the hands. The exact mechanism of action is poorly understood but it may be an option for you with less risk prior to committing to surgery. I would encourage you to seek several opinions of surgeons that have extensive experience in not only rhinoplasty but revisions as well-they may have encountered patients in the past with similar symptoms and have an idea of what may be beneficial to you.