A

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In general, most studies quote a < 10% revision rate for primary rhinoplasties. The facial plastics attending in my dept tells patients he has to revise 5% of his primary noses.

That being said, every patient (and nose) is different. Some are quite straightforward and others are more difficult. Different surgeons will address the same nose in different ways.

It's really impossible to give you an accurate answer without actually looking at you and examining your nose. You should go talk to a surgeon if you want a meaningful answer to your questions.
 
Rhinoplasty is a really, really tough operation to do well. It's hard to get it right, especially the first time. The nose can dominate someone's face; people who have a cosmetic defect (perceived or real) can be obsessive about it and rhinoplasty patients tend to be extremely demanding. If you want a cosmetic rhinoplasty you need to make sure you see someone who does a lot of rhinoplasties and has a good reputation.
 
If you had a nose you were unhappy with, and you got to pick any of the top surgeons in the world, would you ever have a rhinoplasty?

Yes

If so, would you ever agree to have a primary rhinoplasty that included any type of grafts (ear, rib, etc)?

Yes

One famous graft-happy rhinoplasty specialist, Dean Toriumi, is well-known for the "structured" rhinoplasty and likely uses grafts with every primary surgery. Our FPRS guy at Iowa trained with him and was a strong believer in his methods.
 
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