A significant portion of my “anterior nasal spine” and “caudal septum” was removed in a septoplasty. I need to have it rebuilt.
As I understand from online research, for the septum rebuilding I can have a “caudal extension graft” or “extended spreader graft” combined with “extended columellar strut”. So this part seems possible.
My question is, can the “anterior nasal spine” part be rebuilt and fixed/anchored? I don’t want a pre-maxilla graft because that is a horizontal piece augmenting more than just the centerline. I just want the vertical spine, or a simulation of it, rebuilt. Is that possible?
Thank you very much for your time.
You may not need the actual spine rebuilt. A strong columellar strut graft can easily replace the need for that. In addition, “plumping graft” which are small pieces of cartilage placed in the area of the anterior nasal spine may also be necessary depending on your tip structure and alar-columellar proportion. You are correct in that a premaxillary implant or graft is not going to replace what you have had excised and its indications are different. I hope this answered your question.