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Is it Difficult to Remove/Trim a Rhinoplasty Graft?

ace123a
I had revision rhino with rib grafts.. now i think my nose is too large... so would it be "Easy" to remove/trim the grafts? can it be done under local? or is it a difficult procedure to trim/remove to modify the nose and make it smaller? how complex is graft trimming/removal (rib grafts)

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Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
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Dr. Gregory Pippin, MD
Board Certified Facial Plastic Surgeon
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Dr. Samir Shureih, MD
Board Certified Plastic Surgeon
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Dr. Francis R. Palmer, III, MD (retired)
Board Certified Facial Plastic Surgeon
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Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
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