Will septal extension graft (to de-rotate nose) be affected if a 3rd surgery is done to just raise the bridge height? (photo)

Hello and thank you for your question. When appropriate technique is used during your revision, your SEG should not be affected. The technique I prefer for dorsal augmentation is diced cartilage wrapped in fascia. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so it’s imperative to choose your surgeon based upon extensive experience. Your options are going to be a synthetic implant, rib graft, or even fillers placed in the nose. Since you have a SEG, you probably do not have any cartilage left over on the inside of your nose for grafting purposes. Ear cartilage does not work well in that location. Your nasal tip and SEG should not be affected by augmenting your bridge line.