Nose Surgery: Q&A

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Hanging Columella

I have a hanging columella. It hangs all the time even when I smile. It makes it more apparent. Thats the only thing I want to change about my nose. Could I get by with tip plasty or should I try the non surgical botox filler for the hanging columella? I have included a pic of me smiling an a side pic of my nose. I love the side of my nose, no humps. I'm fine with the side its just the hanging columella. Can I get professional opinions please?

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3 Doctor Answers | Asked by Sherika in Lafayette, Louisiana
+2

Hanging columella of the nose

It is difficult to say what would be best in your case because the photo is limited to 1 angle of view, small in size and out of focus when enlarged. What appears as a hanging or protruding columella (strip of skin between the nostrils) can be due to an actual protrusion of this area or retraction of the outer rims of the nostrils or some combination of these 2 processes. The difference is diagnosed on a side view by measuring the distance of the rims and outer edge of the columella... more
+1

Rhinoplasty for Hanging Collumela

A hanging collumela can certainly be improved with a rhinoplasty procedure and is a common request from my patients.  You should consult with a surgeon that specializes in rhinoplasty in order to evaluate your entire face and explore the possibilities.  
+1

Hanging columella

This isn't a great photo to plan your surgery, but yes the correction is very possible.  There are many techniques that can raise a hanging columella while preserving the rest of your nose.  Consult your board certified plastic surgeon.

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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