Revision technique?

Hey docs if you need to trim and shorten a columella strut during an open rhinoplasty do you cut down and the whole strut is basically removed. Or does it only affect the bottom part. Also after it is trimmed does it need to be resutured to heal correctly or usually the top part is still scarred in so it is not necessary. Docs that have experience with this that can answer would be great! Thanks

Doctor Answers 4

Trimming a columellar strut

Thanks for your in-depth question! The answer that can be provided without a knowledge of what is in the nose and what was done in the previous surgery, however, is unfortunately, not probably to the depth that you would like. : ( 

The short answer is that it depends. It depends on what was done and what was placed previously. If you had the operative reports, we might be able to provide a better answer.

Thanks and good luck!


Salt Lake City Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Revisions and Columellar Struts

There are so many options used by experienced revision rhinoplasty surgeons when dealing with struts, columellar fixation, or tip support that it is way beyond the scope of this forum. I'd love to answer your question but I'm not able to share over 30 years of experience and cover all possibilities.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Revision rhinoplasty candidate

It's important to choose your surgeon, not the surgical technique. It's important to know what was done with the entire previous rhinoplasty, and why you want to cut down the cartilaginous strut that is placed in there at this point. There's no reason to remove the strut if it's in the proper location and is giving structural support to the nose. Removing a strut can be accomplished with closed or open rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Revision technique?

Many patients like you try to solve a rhinoplasty problem by research and end up worse. Many of us who are very experienced revision rhinoplasty surgeons say the same thing--" Choose the surgeon who does revisions you like based of his results and not imaging and not the technique". This is your best way to get an excellent revision and not "Participate in the learning curve".

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.