Rhinoplasty
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“Columellar Fullness and Bulges Under Nostrils Upon Smiling”

7 posts
Comments (8)
Updated 22 Jun 2009
Posted 19 Jun 2009
Not Worth It
Spent: $6,000 in New York City, New York

I had open rhinoplaty 4 wks ago and so far have poor results. I had a dorsal bump and a drooping nasal tip. Post op my dorsal hump is still there and my tip has been raised very high.

My concerns are that the columella is so full and the strut graft appears to be attached too low inferiorly. I also have a crease above my upper lip when I try to smile (because the skin where the strut is is so immobile) and on lateral view when I smile there are 2 very large bulges that form under each nostril.

Will this eventually go away with time? Will the columellar fullness decrease or is it the strut making it full?

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

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Comments (8)

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prayingmantis90 (14 posts) 5 Jul 2009
I think my columella looks full too and I hate it so far / Im 4 weeks too/ Maybe its just swelling?
almanac (25 posts) 24 Feb 2010
hello, please can you post an update how do you feeling now? is your situation resolved?
tabby951 (2 posts) 17 Sep 2009
I am five weeks post open and am having the same columella fullness. Has yours improved at all?
almanac (25 posts) 24 Feb 2010
I also have a columella graft put in. I haven't asked for that! I'm feeling myself as an experiment. Why? Every time I touch it or I blow my nose or smile I feel it unnatural. Also it gaves an unnatural look. Can this graft will be removed? Why does it necessary? My original nose was fine without this!
Lsuevans (6 posts) 17 Apr 2010
I am dealing with the same problem. I am 4 months post op and it is horrible but my doctor used a dart implant. My smile is ruined!!!! Funny how no doctors know how to respond
Allison in NJ (2 posts) 26 Apr 2011
Hi SoBe123. I was wondering if this problem ever "fixed" itself, and if so, how long did it take? I am seeing the same thing with the crease when I try to smile and I'm suoer worried. I'm only 2 weeks out of a Closed Rhino, but I'm scared. Please let me know if this ever got better. Thank so much!
SoBe123 (7 posts) 26 Apr 2011
Sorry to hear u have the same problems. The swelling went down further on mine but the crease is still there and my nose looks odd especially wen I smile from the side view. I don't notice it as much now and no one has ever commented on it, so I don't plan on fixing it anytime soon.
Allison in NJ (2 posts) 27 Apr 2011
Thanks for getting back to me. I hope that my swelling will also go down further in the next few months. I appreciate your input.

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