Caudal or lower septum resection is a very powerful and dangerous maneuver which is seldom justified but, should it be required, may be of paramount importance; when the trim of the caudal septum edge is a straight strip the whole nose shortens, the columella is set back and the tip loses projection and support, however there is a certain risk of over indication this maneuver or its poor calibration, leading to a short nose deformity, sunken columella, tip collapse, etc; may the septum be trimmed in a triangular fashion this produces an aggressive tip rotation upwards and downgrades the tip support, which is even more dangerous than the former since may lead to a piggy nose, supratip or polly beak deformity, etc.
With that said there are clear and necessary indications of caudal septum reduction, in those noses with undoubted an undisputable diagnoses of a prominent septum at its lower end, which are very few, way less than it is thought by most surgeons (reason why many revision rhinoplasties suffer from caudal septum over resection deformities), but they do indeed exist and are easily recognizable by highly experienced surgeons.
About its practical execution, it could not be easier and more accessible to anyone doing rhinoplasties, that is another reason why it is sadly over indicated and over executed; the vast majority of cases it is practiced the caudal septum trip was an unwise decision leading to serious structural nasal problems requiring extremely complex revision rhinoplasty procedures; trimming the caudal septum is accomplished by means of a very short underneath the muchoperichondrium dissection via closed approach septal delivery or open approach intercrural access.
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DR. ALEJANDRO NOGUEIRA'S CAUDAL SEPTUM RESECTION CASES PHOTO GALLERY
BEFORE & AFTER
INTRAOPERATIVE & TECHNICAL
See more accessing Dr. Alejandro Nogueira's entire Caudal septum resection Before & After gallery of cases.
See more accessing Dr. Alejandro Nogueira's entire Caudal septum resection Intraoperative & Technical gallery of cases.
REVIEWS & RATINGS
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