I had already had one closed septorhinoplasty to fix a deviated septum when I was 17. Afterward, my septum was still deviated and aesthetically I was unhappy with my bulbous/asymmetric tip, hanging columella, and uneven nostrils. I decided to get a revision and do an open septorhinoplasty at 26. I asked questions such as: - How many revisions do they do? - Do they evaluate your airway/nasal valves? - What do they think actually went wrong the first time? - What cartilage graft materials do they use? My own rib, donor rib, or ear. - Only considered surgeons who used visual software - Bring old operative report and ask what the surgeon thinks went wrong in the previous surgery. - Ask surgeon to do an endoscopy and look inside the nose - Looked for someone who is both ENT and board certified plastic surgeon - Ask what they CANNOT accomplish. No surgery will be perfect. Why I chose my provider: - They satisfied the above requirements. - Gave me a thorough pre and post treatment plan in advance - Many many years of experience with revisions. - Was honest about limitations SUPER happy with my results - nose is perfectly straight, nostrils are even, bulbousness is gone. It was an extremely complex surgery. Recovery: - No bruising for me! - 1-2 weeks of heavy mucus and difficulty breathing through nose. Expected. - Took 4/5 weeks for the tip to drop to normal height. Expected. - Tip changed sizes constantly for 7 months based on alcohol, weather, exercise. This is normal.