Columella very straight, any way to fix? (Photos)

Question

Had my surgery April of 2022. Overall, really love my results aesthetically and functionally. One thing I think gives away the surgery and looks a bit unnatural to me is that my post-op columella is almost a straight line, and I'm wondering if there is an option for revision that focuses just on adding a bit of a convex shape back to the columella, such as with a graft? Non surgical or surgical options welcomed. I've included a pre-op photo of my nose. To me it looks like I already had very little tissue in that area, so I can't blame the surgeon for the straightness

Gianfranco Frojo, MD · Answer

You can add a contouring columellar strut graft that will help soften the transition from the tip to the columella and from the lip to the columella. This is called a "contouring strut graft". Other options are fat grafting or even filler. I personally do not recommend filler in the nose ever as there can be problems in the short and long term that are very challenging to fix. Best of luck!

Eric M. Joseph, MD · Answer

Based on your profile photos, you appear to have a pleasing result, and I do not believe that there are any Stigmata of previous surgery. Unless there is something else bothering you, I would consider leaving this alone. I hope this helps. Sincerely, Dr Joseph

Tanveer Janjua, MD · Answer

Columella can be made more curved using a filler or a cartilage graft. However, your nose looks great and it would be an unnecessary risk. Its best to leave it alone. Perfection of a rhinoplasty is a slippery slope.
Regards
Dr. Janjua

Jeffrey H. Spiegel, MD · Answer

Yes, this can be fixed by adjusting that area. We can either reposition those cartialges, add cartilage, or even add soft tissue.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a revision rhinoplasty.. Maneuvers for your surgery would include nasal tip deprojection, columellar onlay graft, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Columella very straight, any way to fix? (Photos)

Answers (7)

Answer: Yes

Answer: Yes

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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Columella very straight, any way to fix? (Photos)

Answers (7)

Answer: Yes

Answer: Yes

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.