Hello. I had a septorhinoplasty 6 months ago, but I notice a rather minor columella show which bothers me (my colummela was more visible before the nose job). I had a consultation with my surgeon and he told me that he could make my nose shorter during the revision rhino. Ive read here that hanging columella is fixed rather by trimming the cartilages and membrane, so my question is: will turning my tip up solve the problem? Is it possible to fix it with shortening of the nose only? Im confused.
September 8, 2015
Answer: Hanging columella / Septoplasty / Rhinoplasty Dear Rhea, With no photos being submitted, we can only reply in general terms. The upward rotation can fix a hanging columella to a mild degree and it is used primarily to lift a tip. If this was suggested to you perhaps that was the issue for you. Perhaps this is all you need, but it is very hard to say if this is the right procedure for you without firstly, seeing your photos in 6 views and also examining your nose in person. Typically the septum might need to be shortened along with the medial crura to address the issue. That would need to be determined on the lateral view and an examination in person. You may wish to consider performing computer imaging as well as a communication tool between you and your surgeon as to better understand what is surgically possible, and for him/ her to understand the look that you seek.Best of luck in your quest !Dr. Anna Petropoulos, Boston's North Shore
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September 8, 2015
Answer: Hanging columella / Septoplasty / Rhinoplasty Dear Rhea, With no photos being submitted, we can only reply in general terms. The upward rotation can fix a hanging columella to a mild degree and it is used primarily to lift a tip. If this was suggested to you perhaps that was the issue for you. Perhaps this is all you need, but it is very hard to say if this is the right procedure for you without firstly, seeing your photos in 6 views and also examining your nose in person. Typically the septum might need to be shortened along with the medial crura to address the issue. That would need to be determined on the lateral view and an examination in person. You may wish to consider performing computer imaging as well as a communication tool between you and your surgeon as to better understand what is surgically possible, and for him/ her to understand the look that you seek.Best of luck in your quest !Dr. Anna Petropoulos, Boston's North Shore
Helpful
September 8, 2015
Answer: Hanging columella Thanks,Caudal trimming of your nasal septum plus redundant soft tissue is all what you need !Best wishesJ TaheryOtolaryngologist/Facial Plastic SurgeonChesterUK
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September 8, 2015
Answer: Hanging columella Thanks,Caudal trimming of your nasal septum plus redundant soft tissue is all what you need !Best wishesJ TaheryOtolaryngologist/Facial Plastic SurgeonChesterUK
Helpful
