Can columellar strut septum extension be removed and tip sutured smaller?

The answer is probably so. The strut may or may not be necessary based upon inherent tip support. In almost all of these that I perform, the strut is not necessary.Find a plastic surgeon with ELITE credentials who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

There are a number of reasons why the tip of you nose can look larger or more bulbous after rhinoplasty. Part may be due to cartilage grafts used but for a more specific answer, a personal exam where the nose can be examined and touched to help determine the causes is necessary.

Revision rhinoplasty for bulbous tip and removal is strut can be done to refine your tip and support tip without a strut.