Hanging columella on nose needs pushed back in. After 4 previous rhinoplasties, is this going to be simple?
Doctor Answers 5
Columellar-plasty for hanging columella
1. You need more views: a frontal and a lateral view would be useful
2. I think you need the following....
a) I like the start off of your columella against the tip. I do not like the amount of curvature it takes towards the intranasal septum. I think a large portion of of the distal caudal septum has probably been resected. I would probably put in a columellar strut.
b) I do not like the retraction of your alar rims. This is where I agree with Dr. Laufer. You need some cartilage grafting along the lateral crura of the lower lateral cartilages.
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Best of luck
Hanging columella after 4 previous rhinoplasties
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