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Wide Nose w/ Hanging Columella

asked 1 year ago by Chan2337 in santa ana
Latest answer by Kevin F. Hagan, MD
Question viewed 410 times
Tags: columella, hanging, wide

I am interested in getting a rhinoplasty next month. I do not like the wideness of my nose and would like to make it smaller and thinner. I went to see a surgeon who told me that i have a slight hanging columella and that he could make an incision inside the nose to sew it upwards. and he also said he would do a bilateral sil excision on the sides of the nose to bring them in more. I wanted to know your opinions on what the doctor said. Other doctors advice. Thankyou.

11 answers to Wide Nose w/ Hanging Columella

Wide nose with a hanging columella.

You need to see an experienced rhinoplasty surgeon who will give you the pros and cons of doing the nose different ways. You need to make sure he does natural, non operated looking noses since you are going to get the type of nose he does. What you mentioned can be fixed easily, but it doesn"t answer the whole question.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Nasal surgery must be individualized.

Of all cosmetic surgery, rhinoplasty requires the most individual planning. Without seeing your picture, it is impossible for me to know if the recommendations that you have been given are correct. However, if you are unhappy with the width of the base of your nose, then excision of the tissue around the nasal base, sometimes called Wier excisions, is the correct solution. If you are concerned about your columella being too low, then this condition can be easily corrected... more

Kevin F. Hagan, MD
Nashville Plastic Surgeon

Nose surgery

It is difficult to say without seeing you as far as what could be improved with your nose. My goal is to make the nose "blend" into the face, so when someone looks at you, they would not see your nose, either because it is too small or too big or too wide or narrow, but your whole face. This I accomplish by working on the cartilages, bones usually with cuts only inside the nose but I also can narrow the nostrils with cuts on the side. Watch my video!

Edward J. Domanskis, MD
Orange County Plastic Surgeon

The Surgical Plan For Rhinoplasty Correction Of A Wide Nose Is The Most Important Step

You are in the early stages of trying to decide what type of rhinoplasty is best for you. Your small picture is really inadequate to judge your prior recommendations although they are reasonable and not uncommon. Whether that will satisfy your aesthetic concerns of your nose, however, may be a different story. You need to get several plastic surgery opinions and have computer imaging done to determine what really can and cannot be done for your nose. While the operation has to be done well... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Wide Nose with Hanging Columella

As best I can tell after reviewing your small picture, the recommended procedures are probably correct. Although selecting the right procedures is important, how the work is done is more critical. Make sure that you see results in multiple nose similar to yours. A second opinion may be beneficial.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Correction of a Wide Nose

One of important things to identify is what exactly you are seeing that contributes to the cosmetic problem. I have found that when a patient wants a smaller or thinner nose, often what they are identifying is different than what I initially identify as the source of their concern. Although your photo is not ideal, looking at it, the width of the base of the nose does not seem excessive. I would take a bit of time to really identify what you don't like. You should be able to point to it... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Wide Nose w/ Hanging Columella

The width of the nose can be addressed by alar base approach and the hanging columella can be addressed through a transfixing incision.You should be able to discuss the approach with your plastic surgeon.

Erel Laufer, M.D.
Tampa Plastic Surgeon

Hanging columell and wide nose

A wide nose can certainly be narrowed with some sort of alar base excision procedure. A hanging columella can be treated by removing tissue internally. An exam would give clarity to the situation.

Steven Wallach, MD
Manhattan Plastic Surgeon

Rhinoplasty Surgery may be employed to reduce the width of your nose and correct a hanging columella.

I read your concern and reviewed the photo of your nose. The photo is too small to judge your candidacy for Rhinoplasty Surgery. A hanging columella is best viewed on a profile photo. The cause can be multifactorial, so there are different ways to improve this. Bilateral sill excisions would be performed to reduce the width of your nostrils. I hope this is helpful for you. Regards from NJ:

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Raising a hanging columella

The columella can hang lower that looks right making the nose show too much nostril from the side just as the opposite, the columella can be retracted and the nose appear flat across bottom. Rhinoplasty has ample techniques to raise or lower the columella when called for. What your doctor suggests probably makes good sense, photos would help. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Changing a Wide Nose

There is no way to give you much of an opinion from the picture you submitted, but the operations you mentioned are possible. A hanging columella, if related to a prominent septum, can be easily improved by removing some of the excess length through an incision within the nose. Also, reducing the width of the nostril base can be performed by removing pie shaped pieces of the nostrils and suturing them back to the cheek. This does leave potentially visible scars, but they are routinely placed... more