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!
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.
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.
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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".