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Should I get a revision rhinoplasty using rib graft? Will it make my nose bigger? I have very thick skin

eliza bethany
My skin is very thick and as seen in the first photo, definition was very noticeable due to steroid injections, the picture on the right is my nose now, Skin has thickened and is without steroid injections. I am now 2 years post op. My surgeon who did my primary would like to use rib graft and place it in the columella to show the shortening like in the First picture of my nose with steroid injection. Will this make my nose bigger? He also wants to increase height of the bridge in my nose.

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Dr. Thomas A. Mustoe, MD, FACS
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Dr. William Portuese, MD
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