Rhinoplasty Q&A
80%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
1,003 Reviews
Rhinoplastybefore & after photos
View Before and Afters

Average Rhinoplasty Cost: $5,975

Learn about Rhinoplasty

5,053 people and 803 doctors are talking about Rhinoplasty

Get Free Email Updates

2 Months Post-Op, Columella Looks Strange, Implant Shows When Smiling. Will This Improve?

asked 10 months ago by swedha12 in sri lanka
Latest answer by Ronald J. Edelson, MD
Question viewed 282 times
Tags: smile, columella, implant, improvement

I got my closed rhinoplasty done 2 months ago.The doctor used the implant.I have a very narrow philtrum,so the ending of the implant is now showing when i smile,also due to this my columella looks hanging columella and i look so bad smiling and it sometimes hurt too. i know feeling the strecth is normal but what about the ending of the implant at the columella?It almost hides my philtrum when i smile.Will this go away after months of healing of stitches and will my columella look norml

4 answers to 2 Months Post-Op, Columella Looks Strange, Implant Shows When Smiling. Will This Improve?

+1

Columellar implant

I'm not a big fan of columellar implants whether they are cartilage or silicone. They often appear bulky and in your case is causing the columella to hang too much. This is a pretty simple fix at a secondary rhinoplasty. One of the key issues that needs to be addressed is whether the implant is exposed or is possibly at risk of eroding through its soft tissue coverage. If this is the case, it may need to be removed sooner.
Ronald J. Edelson, MD

San Diego Plastic Surgeon
+1

Columella and appearance

I think that the columella graft or implant is either too large or not secured properly leaving a protrusion at the inferior aspect. I do not think that it will improve with time, but it is too early to have a revision.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Columella

You should wiat a little longer but, it is unlikely that things will change. You will probably need to have the implant removed and or replaced.
David A. Bray, Sr., MD

Los Angeles Facial Plastic Surgeon
+1

Columella Looks Strange

The implant, is too large. Even when swelling subsides, this problem will not be improved. The implant needs to be made smaller or removed. Before pictures and material of the implant would be helpful.
Michel Siegel, MD

Houston Facial Plastic Surgeon

houstonfaces.com

Ask a question