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Should I get revision to lift columella? (photo)

cmdoozzyDec 11, 2017
Hi there. I had my rhino 15 months ago in LA to fix my columella and give me a slope (and fix deviated septum). Over past 15 months the columella has dropped considerably. I’m wondering if it needs to be raised more. I have a naturally high tip, so I’m not sure it’s going to suit me if it’s raised higher.

Answers (1)

From board-certified doctors and trusted medical professionals
Howard Webster, MBBS (Hons), FRACS profile photo
Dr. Howard Webster, MBBS (Hons), FRACS
Specialist Plastic Surgeon
4.9 | 304 Reviews
Answered on Dec 14, 2017
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Christian Paquet, MD

Hi Tila.gh, Great question!  Don't be devastated, as there are multiple options for you.  Looking at your photos, it appears that you still have some excess height of your dorsum (the so called "bump"), some tip asymmetry, a "pinched" middle vault of the nose, and perhaps a...

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Jonathan Zelken, MD

Hi there, As a rule of thumb, the bridge of the nose takes about 3 months for swelling to go down all the way, the midvault takes about 6 months, and the tip takes up to a year. I'd  wait that long before going in for touch ups because you complaint appears to pertain to the lower 1/3 of...

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Steven J. Pearlman, MD, FACS

Some of the options for bridge or dorsal augmentation in rhinoplasty or revision rhinoplasty include solid carved rib grafts, diced cartilage wrapped in temporalis fasica, diced cartilage formed into a solid implant with tissue glue, synthetic implants such as gortex. IF its only a small amount...

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