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Seeking Second Opinion Tip Blanching and Stiffness 14 Months Post-Op. What is the best way to correct this? (Photos)

I'm reaching out for a second opinion on my nose following open rhinoplasty 14 months ago. While I am generally pleased with the overall shape, Ive been struggling with a few ongoing issues that are impacting how I feel about the outcome: Blanching and stiffness at the tip The tip of my nose feels very firm and immobile. I wasnt aware that a graft would be used in my procedure, and Im finding it difficult to adjust to how solid the structure now feels. When I move my mouth or smile, the tip remains rigid, and the skin stretches tightly over it, causing noticeable blanching. This is particularly visible when smiling, and the underlying cartilage becomes quite prominent. Asymmetry The right side of my nose appears sharper and more defined than the left, adding to the feeling of imbalance. My surgeon's view was that blanching like this can occur in patients with thin skin, where the skin effectively shrink-wraps around the cartilage framework. He advised that its not dangerous and unlikely to worsen over time. He mentioned several possible approaches, including: Doing nothing, as it may not become more noticeable. Subcision needling, to release the skin from the cartilage and potentially soften the structure (not widely used in this context, but considered low risk). Nanofat or microfat injections, to cushion the area and improve skin quality, particularly as my skin has also been affected by past Roaccutane treatment. Further surgery, involving a fascia

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Is it possible to increase the vertical length of the nose from the front profile in order to fix a long philtrum? (Photos)

is it possible and if so has it been done before to increase the vertical length of the nose from the front profile in order to fix a long philtrum wich is cause by a short nose commonly seen in African and asian people who commonly have this problem and no don't suggest any lip liftds because that will fix the long philtrum but will make face worse as midface is ideally proportionate with an ideal 1:1 ratio and ideal eye separation ratio of 0.46 and fwhr of 1:2 and lips are ideally full and ideally proportioned 1.4:1 so any augmentation of lip lift will just mess with both the midface and the lips wich will just make it worse than having the long phitrum as the problem is the nose, the nose just needs to be moved down the whole thing and this isn't a problem to be solved with increase in tip projection or rotation of the tip to create a more acute nasolabial angle as those are all fine the nose just needs to literally move down a few mm including the alar base and spetem just the whole thing if yk what I mean I hope I've made what I mean very clear as when I search for this online it just show with increasing nasal tip projection as well as rating nasal tip to create a more acute nasal labiral angle and increase the height of the nasal bridge for those with a very flat and if not almost non exisnat nasal bridge commonly seen in like east asians pls lmk only thing is lefort 2 mayb to increase nasal length but then do a lefort 1 to make the actual upper jaw bac

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