Need photos to give specific advice.
The kind of problems you describe are very difficult to make better. First, you need to get the Medpor implant removed and allow everything to heal properly. Once you have healed with no infection and inflammation, only then would I proceed with the reconstructive operation. You may or may not need a rib graft. It depends on much support your nasal tip needs. I would advise you to get evaluated by an experienced Rhinoplasty surgeon, like myself, who can give you good options for a difficult situation. Good luck!
#Revision #rhinoplasty and rib grafts
From your story, it sounds you have complicated situation and you will likely need an expert in revision rhinoplasty as well as a rib graft. The reason your medpor implant is having issues is why it will happen again - whatever that reason is. See an expert in revision rhinoplasty in your area or travel if you have to. Also, your skin cannot be changed and you will always have some issues associated with that if you are presently unhappy. That is something your surgeon cannot change.
Be sure to find a board certified expert in rhinoplasty surgery before you proceed.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
Rhinoplasty and grafts
I have used rib cartilage form patients or from a cadaver a irradiated cartilage. The irradiated cartilage works quite well, and avoids the pain or incision on the chest. Best of luck.