I want a revision rhinoplasty. What can be done to corrected my upturned tip. Do I have alar retraction, columella hanging or combination of both?
Answer: Alar retraction and hanging columella after rhinoplasty. Alar retraction and hanging columella after rhinoplasty. Unfortunately you have both! You will need revision with alar composite grafts and a septal extension graft,etc. See several VERY EXPERIENCED revision rhinoplasty specialists and they should be able to show you many results of revisions in noses like yours and worse!
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Answer: Alar retraction and hanging columella after rhinoplasty. Alar retraction and hanging columella after rhinoplasty. Unfortunately you have both! You will need revision with alar composite grafts and a septal extension graft,etc. See several VERY EXPERIENCED revision rhinoplasty specialists and they should be able to show you many results of revisions in noses like yours and worse!
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January 15, 2019
Answer: Revision Rhinoplasty Hi,
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January 15, 2019
Answer: Revision Rhinoplasty Hi,
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Answer: Poor alar-columellar relationship You appear to have both a hanging columella and alar retraction. This is caused by an over-shortened and rotated nose with a prominent infratip lobule. Revision surgery should be focused on lengthening and de-rotating the nose with a septal extension graft and reducing the alar retraction with articulated alar rim grafts along. Please see a very experienced revision rhinoplasty expert as this can be a difficult problem to fix.
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Answer: Poor alar-columellar relationship You appear to have both a hanging columella and alar retraction. This is caused by an over-shortened and rotated nose with a prominent infratip lobule. Revision surgery should be focused on lengthening and de-rotating the nose with a septal extension graft and reducing the alar retraction with articulated alar rim grafts along. Please see a very experienced revision rhinoplasty expert as this can be a difficult problem to fix.
Helpful 1 person found this helpful
January 15, 2019
Answer: Do I have alar retraction or hanging columella? It appears that you have both a hanging columella and alar retraction. The hanging columella is much more prominent than the alar retraction. Alar Retraction is treated with composite skin grafts harvested from the ear, while a columella-plasty is required to de-rotate the tip of the nose and remove excess cartilage and skin that's hanging down. Choose your second surgeon very wisely based on extensive experience.
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January 15, 2019
Answer: Do I have alar retraction or hanging columella? It appears that you have both a hanging columella and alar retraction. The hanging columella is much more prominent than the alar retraction. Alar Retraction is treated with composite skin grafts harvested from the ear, while a columella-plasty is required to de-rotate the tip of the nose and remove excess cartilage and skin that's hanging down. Choose your second surgeon very wisely based on extensive experience.
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February 13, 2019
Answer: Alar Retraction or Hanging Columella You have both alar retraction and a hanging columella with a short nose. Based solely on these pictures I recommend you consider lifting the columella, placement of a septal extension graft to lengthen the nose, and possibly an alar rim graft of cartilage to improve the contour of the nostril rim. See an experienced revision specialist.
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February 13, 2019
Answer: Alar Retraction or Hanging Columella You have both alar retraction and a hanging columella with a short nose. Based solely on these pictures I recommend you consider lifting the columella, placement of a septal extension graft to lengthen the nose, and possibly an alar rim graft of cartilage to improve the contour of the nostril rim. See an experienced revision specialist.
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