Revision for hanging columnella and upturned nose tip?

Cartilage grafts will probably be necessary to derotate the tip and lengthen the nose. Although this will improve the columellar show, the septum may also be reduced.  See an experienced revision rhinoplasty surgeon because this is a difficult procedure. Please don't let me discourage you; significant... more

Bringing a tip down can be complicated. It depends on what was done to rotate it up in your original surgery. Getting your operative report from 1993 may help in this regards. As far as the hanging columella, the correction of this is relatively straight forward in most situations. You may remain swollen a bit... more

You will probably need grafting of cartilage to bring the tip down, and you may also need some resection of your lower septum to reduce the columellar show.  This can be fairly complex surgery, so you should seek the services of someone who is experienced with revision rhinoplasty surgery.  If you... more

The deformities you described can certainly be addressed by having revision surgery. You will need cartilage grafting to de-rotate the nose. Depending on how much cartilage was taken from your septum, you may need ear cartilage used for grafting.  If the surgeon feels that de-rotating the nose does not... more

Your upturned nasal tip can be turned down with cartialge grafts and your hanging columella can be hidden by cartilage resection or elevation. These are typical steps in a Tip Rhinoplasty. Have your surgeon show you in advance by computer simulation what can be done to your nose. If you like what is proposed,... more

Over rotated nasal tip and hanging columella can occur after an agressive primary rhinoplasty. This can be a difficult problem to correct and is usually the result of an excessively long septum and overly rotated or shortened tip cartilages. Generally speaking and without having seen your pictures, your tip... more

The tip more than likely can be de-rotated and the columella show can probably be improved upon. The recovery woould probably be similar to your first rhinoplasty.

An upturned or short nose can be somewhat difficult to treat and may require cartilage grafts to push the nasal tip down. Secondary rhinoplasty can be complex and you should clearly seek the services of an experienced rhinoplasty surgeon.

The overly rotated nasal tip is a rather common complication of rhinoplasty with scar tissue pulling the tip up and over the lower edge of the cartilage nous septum. The side appearance can be improved by a little filler injection along the top of the nose (But this will not diminish visibility of the nostrils... more

If your nose isn't too large, you would be surprised how much better your nose could look after an Injectable Filler treatment. You should consult a board-certified specialist experienced in using fillers in the nose. You should also see many photos before proceeding. Feel free to email me a full-facial... more