What is the best revision method to fix my caudal septum?

Question

Post rhinoplasty, my crooked/twisted nasal tip was not corrected. My doctor said he used extension grafts. If I were to get a revision, what is the best possible method to deal with difficult cases? If the caudal septum was excised and replaced with straight rib cartilage, is adequate tip support still possible after being disconnected from the dorsal septum? I'm just trying to visualize this.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It really depends on your specific anatomy.  In the setting of extreme caudal septal deviation, I prefer septal reset to help straighten this. With good surgical technique, you could likely 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

Lucas Boehm, MD · Answer

Yes adequate tip support is still possible during your revision case. In my practice I typically use rib cartilage for revision cases. This can be anchored to your remaining septum to provide tip support.

What is the best revision method to fix my caudal septum?

Answers (2)

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

What is the best revision method to fix my caudal septum?

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.