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

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.

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