I had septoplasty for functional reasons, and the surgeon ended up resecting most of my septum, scooping out its inner part, leaving it with sort of a L-shape (as he described). This ended up in a loss of nose tip support, in what I think is columellar retraction, in my nose becoming pointier, and a decreased nasolabial angle. My goal is to recover my original nose shape. How realistic is it that this can be done? If it can be done, how can it be done?
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March 1, 2020
Answer: Can my nasal tip support be restored after over resected septoplasty?
The best way to augment the dorsum with a controlled shape is finely morselized cartilage Inam fascial wrap. A single cartilage graft will have a high risk of edges. Using filler to give a temporary result would help you visualize what you want. Revision rhinoplasty with cartilage graft...
In general grafts can be removed, modified or trimmed. It would be important to evaluate you in person to see the area of concern. Sometimes a surgical simulation tool using Vectra technology can facilitate communication.
A graft is either held in place by dissolvable sutures or by forming a precise pocket. During the healing process it can occasionally shift slightly but this is infrequent. However it is one reason to prefer underlay grafts to onlay grafts. An underlay gray will never show. Sometim...