Revision Rhinoplasty: Q&A
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Can I Just Narrow my Nostrils in Revision Rhinoplasty?
It has been over a year since my rhinoplasty, and I have two problems: the columella hangs too low & my nostrils look very wide, especially when I smile. I want a revision, but I only want to address these two problems, and not mess with the tip. My surgeon did a weir resection, and I was wondering if I would have to have another weir excision to narrow the base a bit more (and how will this affect the scar thats already there?). how will the hanging colulemma be fixed without worse scarring?
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9 Doctor Answers |
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lovebug29299
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Nasal base revision
It is very difficult to give you advice without seeing your photos - it is possible however that all you need is additional tip support which could improve both problems you mentioned
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Revision rhinoplasty to narrow nostrils and reduce columellar show
Indeed it is acceptable to trim the membranous and cartilaginous septum, this is how columellar show is prevented. A small incision approximately one inch long is made on the inside of the nostrils along the septum and trimming of membrane and cartilage is done to reduce the columellar show and to tuck the columella inwards and upwards. A revision alarplasty can also be performed through the original incision to excise the old scars. These two procedures can be done by themselves or in...
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Revision Rhinoplasty for Narrowing Nostrils and Fixing Hanging Columella
Without seeing photos of your nose and examining you in person, it is challenging to advise you as to the best course of action. However, I'm happy to offer a few thoughts.
First, on the issue of the width of your nostrils, revising your prior Weir excisions can certainly be performed without worsening the appearance of your scar, though this is an advanced rhinoplasty technique. Other maneuvers, such as a sill excision may be appropriate if there is too much width to your...
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Caution in "over-doing" nostril narrowing
Revision Wier incisions to further narrow the base is certainly possible. However, be cautious as, the more you narrow the nostril the more obvious the scar and the more "un-natural" the nose may look.
The "hanging" columella is a fairly straight forward repair and can be done without significantly affecting the tip shape.
Good luck and don't overdo it!..."the enemy of good is perfect"
PS. If you don't like the flare mostly when you smil
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Narrow Nasal Base and Elevate Columella after Rhinoplasty
The visible incisions secondary to previous weir excisions would be removed if you decided to narrow the nasal base. Your hanging columella can be elevated by excising excess or relaxed tissue and suturing the columella in proper position.
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Revision Rhinoplasty
The overhanging columella can be adressed and corrected, the exact surgical procedure is determined after examination to determine the cause.
Repeat weir resecton to narrow the nostrils ia possible but be carefull you are not askig too much. The Width of the nostrils should be in proportion to your face and nose.
Baltimore Plastic Surgeon
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Revision rhinoplasty
Addressing a hanging columella typically requires a full revision depending on the cause of the issue. Excess septal cartilage, a slipped graft, or maybe just not corrected appropriately at first? Repeat weir resection can be done while removing the old scar. Seek an experienced rhinoplasty surgeon.
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Columella and nostrils
Certainly a revision weir excision can be performed and hanging columella treated. Without seeing photos it would be difficult to say exactly what you would need.
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Hanging Collumella and Nostril Narrowing
Hi,
You can certainly have another nostril narrowing procedure if indicated. The columella can also be addressed at the same time. Both of these procedures can be done under local anasthesia. It is difficult to to say exactly what you would need without seeing pictures of your nose.
Best.
Dr.S.
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