Can a caudal projection graft be removed?

Some surgeons utilize caudal septal extension grafts to reposition somebody's nasal tip appearance. If you are overall happy with the appearance of your nose, but are just experiencing tightness, it may be best to wait, depending on how long you are after surgery. To answer this question definitively, an examination would be necessary, along with review of your operative report. Wishing you well moving forward! Sincerely, Dr. Joseph

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. No worries of doing revision surgery if needed.

Columellar struts are commonly used but often can feel uncomfortable as you describe. It can be easily removed. I have done this many times because of patients like you who don’t like the stiffness

There are many types of grafts that are used to provide support to the lower nasal cartilages to prevent tip projection loss. Caudal septal extension grafts are larger and more robust graphs, extending onto and beyond the septum for greater support. The columellar strut Is placed in front of the septum between the lower Cartilages for support. Finally, suture only between the lower lateral cartilages can be used for tip support, but has the least amount of support of the options listed. These grafts can be adjusted or removed, but this may alter tip support.

If you have concerns about the outcome of your procedure, then you should follow up with your surgeon.
Your surgeon is by far the best person to make an assessment and help guide you through with the decision-making process if a revision is indicated.
If You’re not getting the care you need to schedule an in person second opinion consultation with other plastic surgeons in your community.
I suggest you continue working with your provider because continuity of care is important.
Best,
Mats Hagstrom MD