Surgeon says he wants to remove strut graft from previous rhinoplasty. Will my tip lose support?

A columellar strut is a thin piece of cartilage placed between the tip cartilages, running up and down in the columella (between the nostrils). I don’t use this graft as frequently anymore as there are more predictable and long-term ways to support the tip of the nose after rhinoplasty. I usually place a caudal septal extension graft and septocolumellar suture. Your surgeon may be removing the columellar strut because it’s too long. Or because it’s creating an unnatural shape of your columella. Hard to know without examining you. You should bring up your concerns a with your surgeon and make sure you are on the same page in terms of goals. Revision rhinoplasty is a highly specialized and technically intricate surgery, so be sure to have it done with a specialist  All the best!Dr. Mehta

There are many different technique to maintain or improve tip support. I've very rarely used struts in the many years I've done this procedure. I don't know why your surgeon will remove it but I would not be concerned as long as you have a rhinoplasty specialist.