Septal extension graft reposition

Question

I had an extension graft placed, but it's causing my nasal tip to be lower than I’d like. It appears too far down. Is it possible to lift my tip and trim the graft with a revision while still using the same graft made from my septum, or would I need a new graft from my rib

Eric M. Joseph, MD · Answer

We have taken care of many patients that have had septal extension graphs, despite having a relatively long nasal appearance to start with. To see what might be best for you moving forward, I would suggest meeting with several reputable rhinoplasty specialists. Please consider bringing a copy of your operative report with you so that you're searching can understand what was done previously. I hope this helps! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a good candidate for a revision rhinoplasty. The septal extension graft can be fully removed and tip elevation with tip deprojection can be performed. If you don’t have septal cartilage left then MTF cartilage could be used for the grafts.. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Sean Fisher, MD · Answer

yes, it is often possible to re-use a cartilage graft that has been placed previously. This is assuming the cartilage has not warped and can be accessed without damaging it. Many revision rhinoplasty surgeons will likely want to discuss the possibility of needing to harvest or utilize new cartilage- in the event it is necessary. This may be either your own rib or donor rib depending on you and your surgeons preference.
Sean FisherAesthetic Plastic Surgeon Seattle, WA

Septal extension graft reposition

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