Q: I had a rhinoplasty with a septal shield graft and notice the tip is dropping. I need a revision for additional scar tissue removal, but I was wondering if a graft could be reused and altered so it is stabilized against dropping so much in thick skin.
A: Depending on the condition and quality of the original graft, previously placed grafts may be used during a revision procedure. With regard to stabilizing your tip rotation – this is a product more of stabilizing your tip cartilages with a septal extension graft or even a columellar strut more than it is the shield graft.
In order to resist the forces of thick skin, additional grafts may be needed to support the tip of your nose.
