Can Nasal Tip Graft Be Removed Under Local Anesthesia?

It is possible depending on where the graft was sutured or if permanet sutures were used

 

Removal of a tip and strut graft is possible, but it may be a complicated procedure. It is possible to do this with local anesthesia, but I would recommend using general for the overall comfort of the patient.  The procedure would need to be open, and depending on your individual circumstances, additional work may be necessary to properly balance the nose and make sure there is adequate structural support.  It is difficult to tell what would be necessary without performing an exam and learning more about the status of your nose prior to your initial rhinoplasty. Thanks and I hope this helps!

Your nasal tip can be reconstructed, but definitely not under local anesthesia. This is not a quick removal. A revisional rhinoplasty will be required to create the nose you desire. General anesthesia is used during a rhinoplasty.

I read your concerns:

Without a photo, it's impossible to provide specific advice regarding your nose. In general, if someone has a tip graft that requires modification, this may be considered a high-complexity procedure, and I perform nearly all cases like this with general anesthetic since further modifications may be necessary after the tip graft is removed.

Hope this helps you.

Dr. Joseph

Nasal tip grafts can be removed under local anesthesia using a simple closed approach.  The final outcome, hwoever, may not be so easy to predict.

Mario J. Imola, MD, DDS, FRCSC.

Jessica, while it is possible to remove a tip graft and/or strut under local anesthesia, I am not sure if this would be an optimal option. Your tip may require additional restructuring once the grafts are removed or modified, which may be difficult to do with no sedation or general anesthesia on board. An open rhinoplasty procedure would be required, especcially considering the fact that your original surgery was through the open approach. I would not advise you to compromise your revision rhinoplasty results by trying to cut corners.  Good luck.

I don't know if this would be the best procedure for you but your tip graft can be removed under local anesthesia. An experienced revision specialist can explain alternatives to you.

Hi Jessica,

In order to remove a strut and shield graft you will probably need to have an open rhinoplasty. This can be done under local anesthesia with mild sedation. What you probably would need is a reduction of the strut and shield graft to reduce your overprojection. Removing the grafts entirely is not a good idea.

Best,

Dr.S.