Columella strut suggestion?

I am freaking out. After my first op my nose felt fine. After the revision rhinoplasty, the opposite. It's hard to explain. I have a columella strut that I can feel below my columella like near my upper lips. I can pinch it through the skin and move it around and it makes grinding and clicking sounds. I heard it can be trimmed and wont click but you will still most likely be able to feel it through your lips!! I do not want to feel it with my fingers at all like post op 1 and I am freaking out!

Doctor Answers 2

Clicking Secondary to Columellar Strut

The strut can be trimmed so it is not palpable and does not click. The strut can be fixed to the cartilage of the columellla which normally moves in all noses before surgery.


Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Revision rhinoplasty a palpable columella strut

Hopefully the appearance of your nose is acceptable. 

If the appropriate time has elapsed your surgeon can modify the strut or remove completely.  Be patient, with time, most of your concerns may improve.

If a strut was applied it was because your nose required it.  Most columella struts that are employed are from either your nose or ear cartilage.  This may be supported to your nasal spine, which is bony. Movement of cartilage over this bony prominence will create sounds.

Return to your surgeon and discuss your concerns. He may offer you alternative techniques to improve your nose that do not require a strut.

Ernest Robinson, MD
Aliso Viejo Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.