Is there a way to lengthen the columella?
Doctor Answers 3
Revision rhinoplasty is in order, but perhaps there is the non-surgical revision rhinoplasty option.
At six months, now is the time to think about revision. Whether or not you would require surgery -- and what kind of surgery -- depends on a surgical consultation of course. The most important thing is that with the points of dissatisfaction that you have improvement. Generally, improvement is impossible. It is hard to tell exactly what is appropriate because it depends on:
- Thickness of the skin
- Presence of scar tissue
- Strength of the cartilage
But a consultation with a rhinoplasty super-specialist – one who performs nearly only rhinoplasty – should give you important answers. You need to do some homework, too.
The advantages of the non-surgical techniques are obvious.They are:
- Less time-consuming
- Often give a more precise result
But all of the above assumes the procedures would “work” and may be appropriate for your case.
Non-surgical rhinoplasty works because tiny drops of Silikon 1000 are injected just under the nasal skin. Over time, the body walls off those drops with new tissue which provides the plumping action to fill in divots or marks in the nose. The same effect can happen with plain salt water to provide a preview how the nose will look after treatment. The Kotler Saline Demo lasts perhaps two hours, but long enough to take a photo of what the finished nose will look like.
One area where injection revision rhinoplasty works very well is in equalizing asymmetrical nostrils and making them look more natural.
I hope this information is helpful to you.Do a lot of homework and you will be a leg up on the situation.
Robert Kotler, MD, FACS
Increasing tip projection
May need a columella strut graft
Dr Remus Repta
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