Rhinoplasty: Q&A
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Does Lifting or Retracting the Hanging Columella (Only) Result In a Shorter Nose Tip or Tip Projection? (photo)
Does lifting or retracting the hanging columella (only) result in a shorter nose tip or nose projection?
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9 Doctor Answers |
Asked by
happygurl1234
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Options for Hanging Columella
Depending on how the hanging columella is dealt with, tip projection can be reduced, maintained (kept the same) or increased
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Hanging columella
A hanging columella can be corrected either alone or in combination with shortening the nose. To shorten the nose as well. More of the columellar cartilage would be removed at. The tip and also redundant mucosa also removed. In either event the procedure is less involved and works better using the closed rhinoplasty technique, in my opinion. The procedure takes about one half hour and the recovery quite easy with no bruising , that is unless you have other things done to the nose at...
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Treatment of Hanging Columella
A hanging columella can be corrected with or without changing nasal length or tip projection. An experienced surgeon will explain your alternatives so you both can achieve the desired result.
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Correcting the hanging columella and its effect on the nasal tip.
Excessive columellar show can have 2 underlying causes: 1) An overly long columella (comprised of both the caudal septum straddled by the medial crus of both lower lateral cartilages) and 2) Alar margin retraction (nostril rims). One or the other or both of these factors can be contributing to the problem. There are different ways to correct excessive columellar show and each will have its own unique impact on tip and nasal base aesthetics as described below...
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Hanging columella
Lifitng the hanging columella does not have to impact the tip directly. The tip can be treated in different ways separately from the columella.
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A hanging columella can also impact the tip
We can't tell from your photo the exact issues, though the hanging columella can be lifted without impacting the tip, and the columella can be adjusted in such a way as to reduce tip projection, increase rotation, or shorten the nose. Computer imaging can sort out just what looks 'right' to you.
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Does Lifting or Retracting the Hanging Columella (Only) Result In a Shorter Nose Tip or Tip Projection?
Performing a Columellar tuck for a hanging Columella gives the illusion of rotating the nasal tip downward (making the nose appear longer) not to be confused with tip projection which decribes how far off of the face the tip extends...the tip itself does not cahnge rotation.
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Hanging columella surgery can be done several ways.
Hanging columella surgery can be done several ways. You can lift the columella and only do that. You could increase or decrease the tip projection as well as shorten the nose.
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Reducing collumelar show
Hi,
Reduction of the collumella should not have any impact on your tip projection if it is performed correctly. I may be that you have collumelar show because of an elongated caudaul septum or over -projected medial crus of the lower lateral cartilage. See link below.
Best,
Dr.S.
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