What would you recommend to fix my hanging columella?
Doctor Answers 7
A hanging columella can be caused by one or more common anatomic variations including an over-developed nasal septum, weak or bowed mesial crura, redundancy of the membranous septum, long or plunging lateral crura, and true nostril retraction. Happily, it is possible to surgically correct a hanging columella without changing the position of the upper lip. Wide or excessive nostrils can also be narrowed during the same procedure. Best of luck.
Correcting A Hanging Columella
Fixing a Hanging Columella
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Correct Hanging Columella During Rhinoplasty
1) The septal cartilage is large pushing the columella down
2) The cartilage in the columella is weak, floppy, wide or overly curved
You can tell the cause by pushing on the columella. If it stops on the hard septum then the septum is pushing the columella downward. If you can push up the columella in the correct location, then the cartilage in the columella need to be corrected.
There are many ways to correct a hanging columella. If the septum is too large, then it will need to be made smaller. Wide columellar cartilages would need to be trimmed. One of my perferred method to improve a hanging columella during a rhinoplasty is a tongue and groove technique where the cartilage of the columella is anchored to the septum to pull up the columella.
Correcting the columella should not effect the upper lip.
I hope this helps.
Fixing a hanging columella
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