Many of my Houston revision rhinoplasty patients have had over-resected cartilage in the tip of their nose or grafts placed to create an overpinched tip which can look operated and "nose jobby". This is especially true for patients with very thin skin. It is important to delicately lift the skin of the tip cartilages in these patients and use caritilage or fascial grafting to soften the tip with an open rhinplasty approach. Temporalis fascia from behind the ear can be used for this and softer ear cartilage is also helpful.
Dr. Funk is a top revision rhinoplast surgeon in Houston Texas.