Columella looks really droopy after Rhinoplasty

I had a Rhinoplasty to reduce the hump and refine the tip. My main concern was the hump. He did a fairly good job there, but the split has only been removed yesterday and it's swollen! But the columella (it was open rhinoplasty) looks droopy since stitches have been removed. The scar is visible and it looks horrendous to me. I'm not sure whether this is just swelling (since it had been cut and stitched up and feels rock solid) or if its always going to be like this now. Can you please advise me?

5 answers to “Columella looks really droopy after...”

A: Three weeks before comments please

Richard Gentile, MD

We have a rule in our office and that is I cannot address any comments about a result until three weeks have passed.  It is not worth any anxiety to focus on something that is certain to change in the days ahead.  Be patient and do not be critical of an early post op appearance (not yet a results)

A: It's too soon to evaluate your results after Rhinoplasty.

Eric M. Joseph, MD

When the splint is removed, along with the stitches at one week after surgery, everyone looks a bit weird. There is so much swelling, that the front view is invariably wide, and unrefined. The tip and columella remain swollen the longest. This will settle down over the next few weeks, so don't worry and try to... more

A: Horrendous Columellar Scar

Tanveer Janjua, MD

The scar of a columella (after open rhinoplasty) should appear as an inverted 'V' line and the edges of the skin should be at the same level. If it is just swollen then it will certainly settle down. If the skin edges are not aligned (like a stepoff deformity) then it will need to be corrected, and can be done... more

A: It is too early to tell!

Manish H. Shah, MD

The columella is the most dependent portion of your nose.  As such, the swelling will remain there the longest before disappearing.   A nose can take over a year to recover from rhinoplasty.  I would ask your surgeon about swelling control measures such as massage, tip taping, and possible... more

A: Don't evaluate rhinoplasty so soon

Daryl K. Hoffman, MD

Your splint just came off yesterday, it is too soon to evaluate the results.  The scar is almost NEVER an issue, so don't worry.  It is swollen.  If it looked the right size now, it would be too small when all the swelling went down.  The hard feeling is very normal and will take a long... more

Post your question

Rhinoplasty: 349 reviews

68% said it was worth it

Rhinoplasty before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.