Revision Rhinoplasty Q&A
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Can A Revision Nose Surgery Correct Hanging Columella and Asymmetry?
asked 8 months ago by stat in europe-usa
Latest answer by William Portuese, MD
Question viewed 408 times
Tags: asymmetry, columella, hanging
i ve already done a nose job and now my nose count to left and have projected look and tip bossae and a hanging columella, what procedures can be done to correct these problems?
7 answers to Can A Revision Nose Surgery Correct Hanging Columella and Asymmetry?
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Can revision Rhinoplasty correct hanging columella?
Yes, a Revision Rhinoplasty can correct a hanging columella however, from the front view it's not evident that you have a hanging columella. Evaluation of this would require a profile view. The columella normally has up to 5 mm's of show on the profile view.
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Columella and Nostril Issues After Primary Rhinoplasty
Looking at your photos, I can appreciate the issues you are seeing in the lower one-third of your nose. In particular, your tip cartilage appears asymmetric along with your nostril openings - with your columella playing a direct role in this. In my opinion, you also have asymmetric alar retraction where the nostril rims appear to be scarred upward. Furthermore, there looks to be pinching of the nasal tip where the tip cartilage was presumably removed during the surgery. Collectively, these...
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Revision nose surgery to correct hanging columella and asymmetry
Nasal tip asymmetry is sometimes extremely difficult to repair from previous rhinoplasty surgery. Bossa are typically addressed by shaving them down. Alar retractions are typically dealt with by composite skin grafts taken from the ear. A twisted nose will have to be addressed either through osteotomies and/or spreader grafts. A hanging columella is a relatively easy fix by trimming back both the membranous and septal columella to create better alar columellar...
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Revision rhinoplasty
You have some deviation and asymmetry. Revision rhinoplasty can correct this if it bothers you. See a surgeon with experience in this type of problem and view photos of other patients that he or she has done who have similar situations to yourself.
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Revision rhinoplasty surgery for hanging columella and assymmetry
Revision surgery would be appropriate for your findings. That does not mean you have to have one. But if you are unhappy with the shape of your tip, then a revision rhinoplasty can improve the symmetry and balance of the tip.
Philip Miller, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+1
Revision surgery for tip asymmetry and columellar show
Yes, revision rhinoplasty is an option for improving the concerns you mentioned. This involves complex reconstruction of the area to rebuild the support and symmetry of the tip. The columellar show can typically be improved in addition to the alar retraction.
I would consult with an experienced revision rhinoplasty surgeon to explore what specific options you have.
+1
Crooked tip
Looking at your photos it seems there's some asymmetry to the nasal tip cartilages and possible displacement of cartilage grafts placed at the time of surgery with the superimposed contribution from scar tissue formed after surgery. Revision rhinoplasty can help correct these things but to know for sure I would visit a rhinoplasty specialist who can examine your nose and educate you about the things that can be corrected and the things he may not be able to correct. Having...
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