Symmetrical and droopy collumela? (photos)
Doctor Answers (8)
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Thank you for your question and photos. After 3 rhinoplasties there is considerable scarring of the soft tissues making revision even more difficult. Your photos show a significant amount of alar retraction. This can be addressed with a combination of cartilage and skin grafting to release the ala. Consult with a surgeon experienced with revision rhinoplasty.
Problems after 3 Rhinoplasty Procedures
Unfortunately you have persistent deviation of the septum, a hanging columella, and severe retraction of your nostril rim. You need to re-evaluated by a truly experienced surgeon who specializes in revision rhinoplasty surgery. You do not want to continue doing rhinoplasty surgery - remember Michael Jackson? You keep emphasizing that all your surgery was free; the most expensive is not necessarily the best but don't just shop price.
Hanging columella and persistently crooked septum
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After 3 rhinoplasties, revision is quite difficult due to scar tissue formation and contracture, which is quite evident by how elevated the rims of the nostrils (ala) are. Revision surgery would require "composite" grafts from the ears as well as work on the columella. Please consult with a rhinoplasty surgeon with great experience in revision surgery.
Rhinoplasty for droopy columella
Collumelar Show and Alar Retraction
From the photos it looks like you have severe collumelar show and alar retraction. This is secondary to too much lower lateral cartilage removal. The caudal and dorsal septum need to be revised as well as alar batten cartilage grafting.
Symmetrical and droopy columella?
An exam would be better to answer this question.
Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA