Caudal septum was removed. Can this be fixed safely?

Question

I had septorhinoplasty last year in which i came out with an extremely shortened nose and unstable base. With healing, I have realised that the caudal septum was removed all the way back to the alar crease and the tip overrotated. I beliee i had deviated caudal septum -photos show the footplate in the airway. How stable is my nose? My surgeon brushes this off for obvious reasons How is my tip remaining up? Can this be fixed safely? Help?

Kurren Gill, MD · Answer

If the caudal septum was indeed over-excised and you feel that the tip is not supported well (which normally results in a droopy, underrotated tip), it would require a revision surgery which would involve the surgeon obtaining other sources of hearty cartilage to help rebuild and re-support the nose (ear cartilage would be too weak for this purpose, so either your own rib cartilage or irradiated cadaveric cartilage). Tough to say what exactly is the cause without photos and a physical exam, but this would generally be how to address an overly resected caudal septum if that is what the issue is here.Hope this helps!

Mats Hagstrom, MD (license on probation) · Answer

Your situation is complex and can’t be answered based on the information provided. At a minimum we need to see proper before and after pictures. If you don’t have proper before and after pictures and ask your surgeon to forward the pictures they took. You should also get a copy of your operative report, and then consider scheduling a few in person second opinion consultations. Quality assessment would also require an intra nasal examination.
Best,
Mats Hagstrom, MD

Caudal septum was removed. Can this be fixed safely?

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Caudal septum was removed. Can this be fixed safely?

Answers (2)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.