Removal of septal extension graft and columella strut?

Question

Is it possible to remove the septal extension graft, columella strut and goretex implant? Would the nose collapse? Or is it possible to still retain some sort of shape? The alars were altered using sail excision. If not possible what would be an alternative?

Lucian Ion, FRCS · Answer

It is unusual to have both septal extension graft and columella strut, which suggests that your surgeon tried very hard to support the tip. It sounds like the Gore-Tex implant is building the bridge projection. Removing the tip support in most instances leads to a decrease in projection, and the balance between the bridge and tip will depend on how much is removed from the bridge. If the lower part of the septal cartilage is intact, a degree of rotation of the tip can produce some support, but would mean a shorter nose. In general, it would be preferable to identify in what way the cartilage creates problems, to be able to define the solutions.

Chris Funderburk, MD · Answer

While a full review of your operative note and a careful physical exam is needed to give you the best answer, my expectation is that you would lose a good bit of tip support with removal of these grafts. This can lead to loss of tip projection, a change in the overall rotation of the tip and a pollybeak deformity

Removal of septal extension graft and columella strut?

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Removal of septal extension graft and columella strut?

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