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

Hello and thank you for your question. Yes, I frequently remove septal extension grafts during revisions, and it can be replaced with a columellar strut graft resulting in a less stiff tip. 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