It's been 10 years since my nose surgery, and from the beginning the cartilage inside my nose was protruding. There is a round piece of cartilage sticking out about 0.5 cm near the center of the columella. I've just been living with the discomfort, but the tenderness and foreign-body sensation there have gotten so bad that I want to do something about just that cartilage. The original clinic said I would need a revision surgery that even replaces the silicone entirely. I'm planning to get another opinion at other hospitals (GWS, RS). If anyone has had a case where they could simply do a closed procedure to trim or remove the cartilage, or even a full revision, please share
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