In-Office Tip Release from CSEG – Is This Safe or Standard for Over-Rotation?

July 3, 2025
Asked By:Humorous774904 in New York

Hi, I’m a male patient who had a septorhinoplasty. My surgeon over-rotated my nasal tip to a noticeably upturned position. This wasn’t something I ever asked for or agreed to. He’s now offering to do an in-office tip release from the caudal septal extension graft (CSEG) at 3 months post-op. He says he will cut the suture, make a full transfixion incision, and fully release the tip — claiming it will “significantly drop” the rotation. When I asked if this was common, he told me he’s never done this before in over 1,500 rhinoplasties. That makes me nervous. Is this a safe or medically accepted technique? Have you seen this work to reverse tip over-rotation, especially in men? Or is surgery in the OR typically needed for this? I’d really appreciate honest input — I’m trying to avoid doing something unsafe out of desperation.

Answers (1)

From board-certified doctors and trusted medical professionals
MOST RECENT
July 9, 2025

Answer: Revision rhinoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon
MOST RECENT
July 9, 2025

Answer: Revision rhinoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon

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