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Possible to Reuse Columella Strut In Revision?

asked 9 months ago by Nestea
Latest answer by William Portuese, MD
Question viewed 199 times
Tags: nose tip, columella, reuse, strut

I had primary rhinoplasty 1.5 yrs ago mostly tip augmentation work, which the tip is over-rotated. I am now seeking revision rhinoplasty to bring the tip down, probably with the use of rib cartilage. Since the septum had been used previously for the columella strut, I was wondering if it was possible to reuse that same cartilage piece for the new strut, or would a new piece have to be harvested. Just wondering since I'm not sure if there is enough septum left and I heard rib struts can be firm

7 answers to Possible to Reuse Columella Strut In Revision?

+1

Possible to reuse cartilage in revision Rhinoplasty?

Yes, the septal cartilage could be reused in the Revision Rhinoplasty but I'd suggest doing some omline research before having rib cartliage as this is prone to uneven dissolution over the years. IMHO, a straight silastic dorsal graft is best for the dorsum while conchal ear cartilage works best for the nasal tip.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+1

Reusing grafts in nasal surgery

Certainly a columellar strut can be used for any revisional work in the nose. If only a columellar strut was harvested from the previous rhinoplasty there should be plenty of cartilage left on the internal portion of the septum. We very frequently will reuse grafts in the nose since it is living and viable tissue. Taking down the columellar strut will most likely help with the overrotation of the nasal tip.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Reusing columellar strut graft

The cartilage graft that was used for the columellar strut can be resued in most cases. The main issue is that the cartilage is straight and strong enough to support the tip after surgery. With tip de-rotation additional cartilage grafts can be obtained from the rib or ear.
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon

www.drlamperti.com

+1

Re-Using Collumelar Strut

Hi, If the columellar strut is still good and can be removed, then yes. However, I don't think that you need to worry about that or even worry about rib cartilage. De-rotating a tip usually only requires revising the the tip cartilages. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon
+1

Tip derotation and nasal lengthening may be difficult to achieve with Revision Rhinoplasty Surgery.

I read your concern. If your tip is over-rotated, this may be a difficult task to improve with further nasal surgery. Columella-struts may be reharvested and reused, but this may not be adequate cartilage to achieve your goals. You should go on several consultations with reputable rhevision rhinoplasty specialists to see what may be feasible in your particular case. I hope this is helpful for you. Regards from NJ.
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

Rhinoplasty Surgery

As long as there is minimal resorption, previously placed cartilage grafts can be reused in revision surgery. The grafts can be modified, re contoured and replaced as needed. If there is not enough graft material from the septum or previously placed nasal grafts, both ear cartilage and rib cartilage are other options.
Jenifer L. Henderson, MD

Silverdale Facial Plastic Surgeon
+1

Reuse of Columellar Strut in Revision Rhinoplasty

Your question is a very valid one. Ultimately, the answer will be influenced by several factors but 4 important ones to keep in mind are as follows: 1. The amount of cartilage that remains from your first surgery and the strength of that cartilage 2. The degree of over-rotation you currently have and the degree to which you want it corrected 3. The technique that was performed to rotate your nose in the previous surgery 4. The degree... more
Amit B. Patel, MD

Lexington Facial Plastic Surgeon

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