Primary closed rhino done in 2002 for deviated nose. Doc used only septal cartilage for spreader grafts and tip work. I asked a couple of revision surgeons whether the existing grafts can be reused in the revision procedure so as to avoid harvesting cartilage from elsewhere. One said "No, it doesn't work that way" and the other surgeon said that he would just try to reuse the existing septal grafts. I'm confused as to whether this is indeed possible, and if so, to what extent they are reusable.
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September 23, 2019
Answer: Recycling Septal Cartilage Grafts in Revision Rhinoplasty
I read your concern and reviewed your photo. Sudden, persistent swelling 4 weeks after revision rhinoplasty, triggered by exercise is unusual. I see the bulge on the left side of your bridge. If you had a foreign body implant placed in your nose, your swelling could be from possible infection...
Are you sure it is the columellar strut graft that is causing the over projection? These grafts are almost routine in an open rhinoplasty. The purpose is to stabilize the tip over the long term. While they can be used to increase projection, usually other grafts are used also,...
Depending on the nature of your surgery, it may take longer than one year to see the final result, and improvement is still possible. I have seen some cases where it takes longer. With a revision that involves tip work, the amount of time it takes to see the final outcome is influenced by the...
