Rhinoplasty using ear cartilage.

Hello,You have many good questions. However without pictures it is hard to provide you accurate answers. I would not recommend using vortex in your situation. There are many options for you. Look at case # 2844 in the link provided to see how cartilage grafts can help and last. Best,Dr. K

Do NEVER accept any kind of alloplastic material in noses (goretex, silicone, fillers, mattrices, etc), they end with major disasters sooner or later.
If you ar unhappy with the cartilage raise of your dorsum I give you 2 choices:
-if you need a slight raise and some camouflage then the superficial temporalis fascia with its precious millefeuille collagen multilayer is the best option, adds smoothening effect and volume
-if you need a substantial height increase then a revision is bound, to fully re-open, extract the graft, add a second layer (rib? septum? if no ear is available) and re-fix in place (probably adding temporal fascial to hide it)
Do not either accept a mini-revision or touch up, has to be full dorsal revision or nothing.

Rhinoplasty results after bridge grafts? Wait another 6 months and then see a very experienced revision rhinoplasty surgeon. I do not like foreign materials in the nose--there are better options.

AS edema subsides further (up to a year or a little longer sometimes), the relationship of the height to the width will change and you may be more satisfied.  You can see none of my colleagues recommend any foreign material in your nose. I agree with this principle.  Experienced rhinoplasty surgeons who do secondary work make a good living removing silicone, Gortex, Supramid, Porex, etc. Can you believe ivory was once used for this purpose???

Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance. Building up the bridge requires grafting material. If it is only 1mm of augmentation, I use rib perichondrium (soft tissue). For a small augmentation, septal cartilage from the nose is great. For significant height, I recommend rib cartilage. I carve a solid graft. I do not use synthetic implants in the nose due to the lifetime risk of infection and extrusion (breaking through the skin). Ear cartilage is challenging to use on the bridge due to its curved shape. After a previous nose surgery, I would wait a year so the skin can recover its blood supply. Safety comes first. 

Revision rhinoplasty is more difficult than a primary rhinoplasty, so it's important to wait at least one year before making any decision about adding height to the bridge. It's also important not to try to stuff too much grafting material in the bridge of the nose, since the skin  can breakdown if there's too much tension placed on it. We do not recommend Gore-Tex in the bridge line of the nose.

Give it time AND be careful what you ask for.  Augmenting the bridge further may not be in your best interest cosmetically or even safe in some cases depending on how dramatic a change you are trying to make.  Get a few consults or second opinions as well and just give it time.  The success and results of a rhinoplasty is measured in months and years, not weeks and months.  If you are considering a revision talk openly with your surgeon.  Great sources for second opinions would be Umang Metha, MD in the Menlo Park area and Donald Yoo, MD in LA.Chase Lay MD