Rhinoplasty London, UK.. - Harley Street/ Princess Margaret Hospital

Ok so anyways i was really happy that i was going to be able to book my surgery and hopefully get this nose fixed properly hopefully for the last time....BUT then i recieved an email from Mr uppal.
The email he sent me said that he has spoken to some american surgeons (on one of his trips) and that they suggested that i do something about my acne. And until then he will not operate on me.
So i booked an appointment to go see him..because when i spoke to him on the phone he said i could have surgery to resolve my issues..they even sent me a quote.
I dont have acne..maybe a few spots here or there but defo not acne.
I do however have scarring left behind from acne which i had from a few years ago. I did try to explain this to him.
Anyways I asked him about what acne has to do with rhinoplasty..and he said that he was told by these american surgeons that i have inflamed skin. And this is why my nose has not been healing properly, and why my nose does not look right.
So he has suggested i go to see a dermatologist. Maybe get myself onto roacctune. I have been on roacctune before. But like i said i dont have acne anymore..i just have scars. So i will go see a dermalogist and see what happens. He also said that apparently patients who have been on roacctune heal better.
And one american surgeon had a patient with a similar case to mine. And advised Mr uppal on what to do.
He said to come back and see him when i have sorted this out. And then he will be able to operate on my nose.
So i will have to try and sort this out and go see him in a few months.
I still have alot of issues with my nose that really need sorting out asap. My nose needs to be done again. I dont need no minor revisions anymore. Its all getting long now.
I personally think that from the start he just didnt take off enough from my nose (from day one)..as i can see the shape of the underlying structure . The bridge is way to high. I have a bump. The tip os huge and drooping. Most of the scar tissue and swelling has gone down. But my nose is still not right. Its the actual shape of my nose structure..i can feel it when i feel my nose.
Anyways lets see what happens.. i will keep updating :)

I am posting a pic of my nose which a surgeon on realself edited for me. Saying that my nose should look like this. I really like how it looks. Defo need to get it trimmed down. Comparing my nose and this pic theres quite a big difference. Obviously I know this is an edited pic and real life is different. But I would like my nose to look more even and straight along the bridge.

Its almost been a year since my initial surgery. There has been a lot of improvemnet with each minor revision. In comparison to what my nose looked like before surgery. Its better. But still a few issues.

So i recently went to see Mr Uppal again with my concerns:
*Droopy tip
*Quite long
*Bridge too high
*Tip too big,round

He said he would be able to sort out my tip by using cartilage from my rib..a rib graft. Which would hopefully help keep the tip of nose up. Give it some support.

And hopefully remove some scar tissue and give me a series of steroid shots..as i have a problem with scar tissue building up.

My bridge is also still to high. I need that trimmed down slightly.

I have attached some pics. You can see it looks different from every angle. Its still quite long. And the tip is droopy.

So anyways hopefully by the end of next week I will have booked surgery. I will be doing it under General Anaesthetic.

I have received a quote of £700 which is quite a lot. Its taking me a little while to save up. I thought when he said free revision that it would be free. But clearly its not. I have to pay for hospital and anaesthetic costs.