Difficulty Breathing after Rhinoplasty. What’s the best graft to make my nose bigger and restore my breathing? (Photos)

you have clear evidence of what we call a pinched tip. Most likely you are correct that your surgeon overly reduced your tip in attempt to making it smaller, and now you can't breathe because your ext nasal valve is very collapsed. to address this, you need to get new cartilage put in to support the valve area. the type of graft you may be looking at is something called an alar batten graft or a lateral crural strut graft. make sure you go to a good rhino expert if you plan to get a revision and while I am biased, I would recommend you specifically find someone who is ENT trained bc you are looking at improving both cosmetics and functional outcomes.

I would recommend a revision rhinoplasty with rib autograft (using your own rib). It appears that the nose has completely collapsed on itself (visible inverted V deformity) and alar collapse. I would recommend using the rib graft to fix all the collapsed aspects of the nose which also includes the internal/external valves that permit airflow.

Thank you for your question and for sharing your photographs.

The characteristics you are demonstrating appear to be due to a combination of muscle activity around the nostrils and some flexibility in their structural support. Controlling muscle activity in this area is more challenging, so the focus is typically on reinforcing nostril support.

This is often achieved using ear cartilage grafts, though in some cases, stronger support may be required, necessitating rib cartilage. If your previous surgery did not use cartilage from the septum and it remains available for grafting—though this is uncommon—it can also serve as a good source for reinforcing nostril support.