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Trimming a long graft - can this be done without a full revision? (Photo)

kokopupJun 12, 2025
I had a revision rhinoplasty overseas last year and the collumellar strut is too long and presses into my lips when I smile or laugh and it causes discomfort and an ugly crease beneath my nose. Can the graft be shortened without a full revision?

Answers (3)

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
4.9 | 627 Reviews
Answered on Aug 19, 2025
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Jun 28, 2025
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Dr. Jeffrey H. Spiegel, MD
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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 384 Reviews
Answered on Jun 27, 2025
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Alejandro Nogueira, MD

Yes, your septum is creating an impigement of one nasal fossa, however this should be treated ONLY if the patient has symptoms due to it, if this is the case (I assume so) then yes, a septoplasty is correctly indicated at the same time of the revision rhinoplasty; however... this is not easy...

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Alejandro Nogueira, MD

I understand how difficult is to read this and accept the situation, but you are minimizing the calamitous technical result of your previous rhinoplasty. There are extensive damages affecting all nasal areas or key points: -open roof -inverted V -middle vault collapse -shattering of nasal...

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Alejandro Nogueira, MD

They are destructive, not anti-inflammatory, they corrode the skeleton and the lining, reduce blood flow, etc. Much much less 5FU, that's a grave mistake, do not repeat, it is a necrotizing substance alike to an "acid" to destroy cancer cells. The late onset of your inflammation makes me...

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Eric M. Joseph, MD

If you liked how your nose looked after temporary fillers, you may wish to consider the feasibility of microdroplet Silikon-1000 nasal injections for permanent results. I wish you all moving forward. Sincerely, Dr Joseph

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Eric M. Joseph, MD

If your photos that are labeled 'morph before' are actual photos of your nose, you appear to have a pleasing nasal profile appearance, compared to the deprojected version that you posted. Since your photos are a bit confusing, it might be best to address this with a rhinoplasty specialist in...

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Eric M. Joseph, MD

It is difficult to evaluate your up close photos, and I doubt that the yellow line corresponds to where your osteotomy was performed. If you are desiring a wider nasal appearance, with filling in of nasal indentations, depending on your examination, microdroplet Silikon-1000 injections maybe...

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