Should I go for revision rhinoplasty because of hanging columella?

I had a Rhinoplasty operation 2 years ago and was quite happy with the results at the time, but since then I have grown increasingly unhappy with the tip. I think it looks quite bulbous due to hanging columella. What is your opinion? And if necessary, how easy would it be to correct? (I can't upload my image as it's a pdf - I could email it to you if you respond? Thanks!)

3 answers to “Should I go for revision rhinoplasty...”

A: Hanging Columella

Richard W. Fleming, MD

If you're not satisfied wit the columella and tip,I would encourage you to consider a revision. The columella can be raised. While the hanging columella may contribute to to the "bulbous" appearance, you may need additional work to achieve better tip definition. Some seasoned advice would be in order.

A: Hanging collumella can be fixed

Richard Rival, MD

You really mention two concerns in your question: tip bulbosity and hanging columella.  The hanging collumella refers to the piece of tissue in between your nostrils that hangs down. In a hanging columella you see too much of this tissue and the nose appears droopy. You also see too much nostril from the... more

A: Hanging columella can be fixed

Steven H. Dayan, MD

Hi Pinklady, You mention that you are unhappy with the columella hanging and also refer to the bulbousity. The two generally are unrelated though. If it is a hanging columella only that is concerning you, then fixing this is usually fairly straightforward and can be done closed (incisions on the inside). If... more

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