In this surgery ,i change the shape of the ear by stitches. you could find out more by watching this video. She has come to Muscat to do Rhinoplasty with Dr Amir.she got her primary rhinoplasty done there and now she is talking about her experience An American patient has visited me for revision surgery. She had done several unsuccessful rhinoplasty surgeries in the United States. She is complaining about hanging columella, long nose, and a droopy tip. Nataly has requested that Dr. Amir Sajadian that her nose tip would be upward and the nose entirely to be small and unnatural as she prefers. In the video the surgeon had fixated the position of her nose tip with tongue in groove (TIG) technique to disallow the nose to droop immediately after surgery. This patient has rhinoplasty done in the past and her surgeon left silicon implant inside of her nose .patient was complaining about having foreign body inside and too much moving around.in addition she wasn’t happy with the shape too.there are always the risk of protrusion and infection .so I removed that implant .after removal of that silicon there was a huge space because of cartilage overesection and I reconstructed dorsum and tip with ear cartilage and fascia.in this technique we harvest the fascia from temple and sewing it like a pillow […] 5 things you should know about revision or secondary rhinoplasty This patient was complaining about being short nose following the previous rhinoplasty, so she came to us to lengthen her nose. I harvested ear cartilage to reconstruct tip and columella and increase the length of the nose. 5 things you should know about Rhinoplasty in thick skin 5 Things You should Know about Rhinoplasty in Iran How to describe your nose problem during consultation??listen to this video to learn proper words in order to explain what you are craving for!! This patients has come from England for secondry (revision ) rhinoplasty.she is suffereing from deviated septum,pinched nose and hanging columella. A girl who has come from UK.she has rhinoplasty done.i removed her hump and i did double osteotomy to make her nose narrower.