My nose tip or columella hangs down and I want to know if there is a way to shrink down the base of the tip or top of the columella. I say both because I'm not sure what should be done to reduce the droop. What is the recovery time on this procedure and an normal cost for this procedure in Ontario, Canada? I had a rhinoplasty and results are great but he said he doesn't touch nostrils or the columella. Thanks.
April 6, 2016
Answer: Rhinoplasty to reduce a hanging columella A hanging columella can be addressed by trimming back excess skin and cartilage on both sides of the nostrils. It's also important to release the depressor septi ligament which pulls the tip down when smiling and makes the hanging columella worse. For more information and many examples, please see the link and the video below
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April 6, 2016
Answer: Rhinoplasty to reduce a hanging columella A hanging columella can be addressed by trimming back excess skin and cartilage on both sides of the nostrils. It's also important to release the depressor septi ligament which pulls the tip down when smiling and makes the hanging columella worse. For more information and many examples, please see the link and the video below
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April 2, 2016
Answer: Tip revision Thank you for your question and I'm sorry you're having issues. I recommend starting with an in-person consultation with an experienced surgeon, so that the structures can be properly evaluated. From the pictures you provided, it's very hard for me to tell the relationships of the relevant cartilages. Although, It seems like the tip needs to be elevated. I would recommend cutting the depressor muscle that pulls in the tip when you smile. You may benefit from reducing the nostril width. Seek an experienced revision rhinoplasty surgeon. Good luck!
Helpful 1 person found this helpful
April 2, 2016
Answer: Tip revision Thank you for your question and I'm sorry you're having issues. I recommend starting with an in-person consultation with an experienced surgeon, so that the structures can be properly evaluated. From the pictures you provided, it's very hard for me to tell the relationships of the relevant cartilages. Although, It seems like the tip needs to be elevated. I would recommend cutting the depressor muscle that pulls in the tip when you smile. You may benefit from reducing the nostril width. Seek an experienced revision rhinoplasty surgeon. Good luck!
Helpful 1 person found this helpful