Philtrum much longer after rhinoplasty. Would removing the columella strut help?

Question

Before rhinoplasty my top lip had a nice slope to it. After the procedure it sits completely flat and from the front my philtrum looks way longer. What causes this change? Is it the columella strut? I notice my columella comes out more and pushes my lip down and it feels tight and there is a crease when I try to smile. Is it possible to return my lip to the original position? Would removing the columella strut help? Thank you!

Eric M. Joseph, MD · Answer

In general, a columella strut graft is placed into the nasal tip to add structural support. Removal of this could lead to a lower nasal tip appearance which may be what you're looking for. Please consider meeting with your surgeon or with another reputable rhinoplasty specialist so you could gain Clarity. Thank you for your question. Sincerely, Dr Joseph

Kenneth R. Francis, MD, FACS · Answer

Dear Nurturing,
That is a very interesting set of photographs that you have submitted.  Please note however that the lighting, background and angle on the lateral view are all different.  To really determine a difference, all things should be equal.  Also, we have no idea how long ago your surgery was, or the specifics of the procedure.  The issue you are having should be discussed with your surgeon to determine: 1. If it is real; 2. What is causing it; 3. Is it too soon to address.  Good luck!

Philtrum much longer after rhinoplasty. Would removing the columella strut help?

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