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Closed Rhinoplasty Touch Up - Columella Scar Tissue Lump

Nasty Nose IllinoisFeb 5, 2024
Hello, doctors. I have a question concerning how access to the columella, specifically to the area underlying the columella skin, is obtained during a closed rhinoplasty. One of my revision rhinoplasty issues includes a hard lump of scar tissue that formed under the columella area that causes my columella to look asymmetrical and skewed and was not addressed during my primary rhinoplasty. How might this scar tissue mass be accessed and removed through a closed revision rhinoplasty?

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Dr. Tanveer Janjua, MD
Board Certified Facial Plastic Surgeon
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Answered on Feb 6, 2024
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William Portuese, MD

Much more information is needed, such as a full set of facial photographs from all angles in addition to a copy of the operative report find out what was accomplished in the first procedure. It's also important to know how much cartilage is left over on the inside of your nose for grafting...

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David M. Kowalczyk, MD, MBA, FACS

Hello. It may be possible. If the footplates were sutured in position to create narrowness, the suture would need to be removed and the footplates would likely return to position. If they were removed, grafting could possibly be done. It would depend on how much the skin in the area moves. Hope...

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Hong Ryul Jin, MD

The grafts of the tip will soften a little bit with time. But if the surgeon used septal extension graft and columellar strut to support your tip, the tip will not be as soft as before even with time. Scar and cartilage graft fixed to your septum will still be hard. If you remove those grafts...

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