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

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

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...

Based on your two before and after photos, I'm not sure for the surgical intervention is warranted. Additionally, you are only 5 months post-operative. I would wait a full year since you will see some changes in the tip of your nose, and you may end up becoming satisfied with how your nose looks...

Based on your photos, you appear to have a pleasing nasal appearance, in my opinion. If you are looking to achieve a wider and less sculpted nasal bridge and tip appearance, depending on your examination, microdroplet Silikon-1000 injections may be considered for achieving a slightly wider nasal...

If I understand your photos correctly you appear to have a pleasing nasal profile appearance one year after surgery. Depending on your examination, a dilute steroid injection may be considered for bringing down some puffiness in the supratip area. I hope this helps. Sincerely, Dr Joseph

Hello and thank you for your question. Measuring with your fingers is definitely not an accurate way to measure this. I recommend that you meet with your surgeon who can evaluate you in person and ask them for the dimensions of the graft. Your surgeon could also likely do steroid injections...