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Can a septal extension graft be removed and replaced with a columellar strut graft for tip support?

bluey0022Sep 13, 2024
The septal extension graft is making my nose extremely hard and stiff and i will like it removed. Can it be replaced with a columellar strut graft so the tip isn't as hard as a rock while still having some sort of structure?

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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1705 Reviews
Answered on Sep 15, 2024
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Chet Mays, MD

Thank you for your inquiry! I recommend consulting with a board certified plastic surgeon to create a surgical plan targeted towards your specific goals.

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Steven M. Denenberg, MD

From the little I know so far, you had a revision, where a septal extension graft was added, and now the nose is rock hard. The fact that it's taking a toll on your mental health argues in favor of evaluating you to see if there's something surgical that can be done. It really would take some...

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Sean Fisher, MD

Given that you are 5 months post-op, I recommend that patients wait until they are 1 year out to allow for adequate healing and to see final results before considering revisionary surgery. If you are unhappy with your results after adequate healing, a revision rhinoplasty could address your tip...

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