My columella retracted causing an upper lip protrusion. How can this fixed? (photos)

Question

Dear doctors, I am so depressed about how bad my nose looks after my primary, I had a much nicer nose before. it has changed my whole face, one of the problems i have is my upper lip, my columella retracted causing an upper lip protrusion. how can this fixed ? my nose look similar to contracted asian noses after infection. sometimes I lose hope that I ll ever look as pretty as before. please give me your thoughts . thank you

George Bitar, MD · Answer

Thank you for your question. You do have some columellar retraction affecting the visual relationship with the lip.  It does not appear that the lip is affected. Revisionary surgery to lower the columella would help this problem. Cartilage grafting would likely be needed to stabilize the result.  Best wishes.

Kimberly Lee, MD · Answer

I'm sorry to hear about your experience.  The first thing would be to go back to your surgeon and explain what you are unhappy about to see if he/she would be able to fix it.  If not, the columella can be addressed to give you a rounder, fuller appearance.  Please consult with a board certified specialist who can assist you with achieving the results you seek.  3-dimensional computer imaging can help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.

William Portuese, MD · Answer

Revision rhinoplasty can be entertained to give more columellar show. This would involve adding a cartilage graft to the columella, provided there is enough cartilage left on the inside of your septum. In cartilage depleted noses, an ear cartilage graft may be required. It is doubtful this will affect your upper lip

My columella retracted causing an upper lip protrusion. How can this fixed? (photos)

Answers (3)

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My columella retracted causing an upper lip protrusion. How can this fixed? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.