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Revision rhinoplasty after excessive scar tissue around ear cartilage grafts: should I return to the same surgeon? (Photos)

My primary rhinoplasty was 5 years ago. No cartilage grafts were used, and I healed very quickly with an excellent result. I have very thin skin, and for years I was happy with my nose. Over time, I noticed a small dip between the bridge and tip and a slight deviation. About a year ago, I had a revision with the same surgeon. Ear cartilage was harvested and used to fill the dip and refine the tip. Since that revision, my nose has appeared much larger, heavier, and less defined than expected. The tip became very swollen and “balloon-like.” Although it has improved significantly over the past year, I still have persistent fullness at nearly 12 months. I recently spoke with my surgeon. He believes the underlying structure is acceptable but feels I developed an unusual amount of scar tissue around the cartilage grafts. He is recommending an open revision to remove scar tissue and some of the cartilage. He stated that in 15 years and nearly 1,000 rhinoplasties, he has rarely seen a reaction like this. My questions: 1. Is it reasonable to return to the same surgeon given that my original rhinoplasty result was excellent? 2. Can excessive scar tissue around ear cartilage grafts cause persistent fullness at 1 year? 3. If scar tissue is removed, how likely is it to return? 4. Does this history increase the risk of a similar healing problem after another revision? Ps. We never used steroids for the tissue. Thank you for your insights

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