In Need of Revison Rhinoplasty

asked 8 months ago by Melbgirl1971 in Melbourne Australia
Latest answer by Gary Motykie, MD
Question viewed 303 times
Tags: female, alar reduction, breathing problems, columella, deviated septum, hanging, options

I had minor rhynoplasty in Melbourne as a result I now have a hanging columell and alar retration on the right notril - can this be fixed with revision rhynoplasty? Also I had a deviated septum which the surgeon fixed (well tried to, as I still have breathing issues).

5 answers to In Need of Revison Rhinoplasty

Revision Rhinoplasty

It is important to know when your rhinoplasty was initially performed since your nose will continue to change during the first year after surgery. A revision rhinoplasty can certainly address the issues you have mentioned but photographs would be helpful to analyze the aesthetics of your nose. A hanging columella can be due to a long caudal (lower end) septum and/or alar (nostril) retraction so photos would be helpful in assessing your individual situation. Lastly, breathing will... more

Gary Motykie, MD
Los Angeles Plastic Surgeon

Treating hanging columella, retracted ala and nasal obstruction

The issues that you're notincing after your original rhinoplasty can usually be address wtih revision surgery. Without examining your nose it is hard to be too specific. To improve the excess columellar show the columella can be reset in to improve its hanging. Bringing the retracted ala downward will also help with this. The method to treat retracted ala depends on the cause but possible techniques include alar rim grafts or lower lateral cartilage repositioning. Your functional... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

In need of revision rhinoplasty

The revision rhinoplasty procedure is always harder than a primary rhinoplasty. A hanging columella is best addressed by trimming back both cartilage and membrane in the columella to tuck the columella inwards. Alar retraction is treated with a composite skin and cartilage graft from the ear grafted to the inside of the nostril to bring the alar rim down. Any nasal obstruction can be addressed with further surgery on either a residual deviated septum or spreader grafts for... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Correction of hanging columella, alar retraction, and breathing problems is possible with revision rhinoplasty

Hi Melbgirl, I'm sorry to hear that your results from your rhinoplasty were not satisfactory. Revision rhinoplasty can certainly address the issues you have listed. It is hard to tell exactly what would be required without pictures, or a physical examination, but below are general techniques used to correct the problems you have. The hanging columella is often the result of either poor columellar support, or a large columellar strut graft. Use of the... more

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon

Revision rhinoplasty

How long has it been since you have had your rhinoplasty? It often takes 6 to 12 months for your tissues to settle after a rhinoplasty. Small changes to your nose will occur over this settling in time. You an certainly have a revision rihinoplasty but I would recommend waiting 12 months. Of course see your plastic surgeon before then and discuss your concerns with him or her.

Isolde Hertess, MD
Gold Coast Plastic Surgeon

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