SEG revision - can tip derotation be performed for patients who has SEG? (Photo)

Hello and thank you for your question. Based on your photograph, your tip does appear overrotated and over-projected. This is not likely to drop if a septal extension graft was used during your surgery. If you want to undergo a Revision, you could have extended spreader grafts placed to derotate your tip and have a nasal tip deprojection performed at the same time.. 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

Yes, with a revision rhinoplasty the septal extension graft can be dissected free that the repositioned to extend the tip, although it is possible that other grafts will be needed. Unfortunately this is a potential problem with septal extension grafts which can be very useful but rigidly fix the amount of tip rotation and projection