Revision rhinoplasty case tip silicone implant, collumela seem too thick, nostril sill too small because previous surgery, and alar too thick. After removal silicon implant and change with cartilage, collumella, nostril sill and alar more natural.
Revision rhinoplasty case. Before silicon implant L type, change with silikon I , septal and concha cartilage graft on tip. After collumela more projection. Corection upturn tip. Nose more longer.