Based on your photos, I would highly advise against further surgery. You appear to have very thin nasal skin, and a fourth operation would not guarantee much of anything. Depending on your examination, microdroplets Silikon 1000 injections may be considered for smoothing out your nasal tip...
Hello and thank you for your question. Based on your photograph, you may benefit from a revision rhinoplasty to help build your dorsum and tip. For dorsal augmentation, I prefer to use diced cartilage wrapped in fascia. With good surgical technique, you could have an outstanding result. I...
This is a straightforward procedure, in which a strip of septal cartilage is placed along the rim. In your case, I would also recommend a mucosal graft to ensure the retraction is fully corrected.