In this view you can see the excess width of both sides of the tip of her
nose. Changing the shape of the tip of the nose is one of the more
demanding parts of a rhinoplasty. You can't just carve a new tip, as out
of a block of clay. You must work with the thin leaves of these tip
cartilages, and cajole them into a more pleasing shape.
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Is There Hope for Another Revision Rhinoplasty?
I had a revision rhinoplasty to fix my deviated septum. I wanted to keep the shape and size and only fix the deviation. A graft was placed (not from my body) but I was surprised that now my nose appears to have bad scar tissue, resulting in a "no shape" and bulbous nose. Could another revision fix my nose, for the last time? Or, will scar tissue keep forming? Can my nose be slimmed and defined? I live in Saudi, but I'm considering a revision in the states. Is there any surgeon you recommend?
(Questioner submitted photos)
Dr. Denenberg's answer: Removing scar tissue to give definition to the nose can be difficult
While it's true that some scar tissue will always form after any operation, the question is whether your scar tissue can be carved enough to give a meaningful improvement despite the new scar that can form. Sometimes the cartilages can still be modified to help with narrowing and defining, or adjusting or removing the graft could help.
Could you post larger photos, taken from many angles, and also let us know where the graft sits? That would help.
Link to this question on RealSelf.com