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What Can Be Done About Long Columellar Strut After Rhinoplasty?

asked 2 years ago by SoBe123 in nyc, ny
Latest answer by Toby Mayer, MD
Question viewed 447 times
Tags: nose

I had open Rhinoplasty 7 weeks ago and my tip is now overly projected and the columellar strut is too long. It extends far beyond the nasal spine and there is a clicking sensation over the nasal spine when I move my upper lip sideways. What can be done about this? Can the columella be adjusted under local anesthesia?

3 answers to What Can Be Done About Long Columellar Strut After Rhinoplasty?

+1

Yes this can be adjusted under local anesthesia.

 You should wait a bit longer, 3-6 months, to let the swelling go down unless your doctor feels there is no point to waiting since it is too long.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Columella problem after Rhinoplasty

It is difficult to say without at least a picture. Rotation of the tip can cause the columella to "show" too much as viewing it from the side. The clicking sound might be a graft between the lower cartilages in the nose, used to get better tip projection. If a revision is necessary and only the tip needs to be adjusted, it is possible to do this with local and some sedation. Sorry, I can't be more specific. I would recommend you return to see your surgeon and ask his opinion... more
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Overly projected strut after Rhinoplasty

At this point, only seven weeks out from surgery, the most appropriate thing to do is wait. Although it's not in our nature to exercise patience, the appearance of the nose will evolve considerably over the next several months. It's possible that scar tissue build up over the next few months could provide the strut with some stability, so that it doesn't slide over the anterior nasal spine when you move your lip. If this problem is still persistent 6 months after surgery, revision is... more
Sam Jejurikar, MD

Dallas Plastic Surgeon

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