How to fix a columellar strut?

A columellar strut can shift if it is not placed accurately, or is too long for the space it occupies. If it is a consistent problem it can be corrected by re-positioning, shortening, or fixing it in position better. many times this can be done with local anesthesia. In order to really give you an accurate answer a personal consultation is recommended. 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  I have fixed this issue before.  The answer really depends on your individual examination. I recommend that you either return to your primary surgeon or seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

The short answer to your question is that repositioning a columella strut graft can be performed under local anesthesia.  I think it is more important to make certain the reason for the graft displacement is addressed appropriately.  Was the graft too large?  Is there too much tension on the columella?  Is a strut graft even necessary?  

It really depends on why the strut is displaced.  It may be too long and to one side of the nasal spine for example.  It is fairly easy to straighten it under local but the surgeon needs to evaluate  the reason for the displacement and correct that also.

It depends upon what needs to be done. Why is your strut out of position in the first place?  You would need to be evaluated.