Since my rhinoplasty 6 months ago my nostrils are retracted but also my columella shows more than I'd like and I dislike the angle. It used to fold inward, at 90 degrees from the base. Is it possible to adjust the base of the columella by lifting it up so it tucks between the nostrils? Would a columelloplasty work for this? I believe this occurred because my nose was de-projected, which subsequently required the angle of my nose to change. The columella, however, was not adjusted.
2 photos
Answers (4)
From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
January 25, 2021
Answer: Can the base of the columella along with the rest of the columella be raised? (Previous rhinoplasty)
A physical examination by a facial plastic surgeon who is experienced in revision rhinoplasty would help determine if the bump can be addressed by a simple rasp or if it would require a rasp with mobilization of the nasal bones to narrow the nasal bridge. If the bump is more prominent, it may...
HelloAs I understand from your history your surgeon used rib cartilage to reshape your nose in your revision surgery.Rib catilages are stiffer and stronger than original alar cartilages. As a result of that stiffness they can cause some aesthetic problems.For breathing problems I recommend you...
Although yours is an extreme example, the most common post-rhinoplasty deformity I see in my revision rhinoplasty practice consists of an over-resected dorsum and an over-rotated tip.... nature hates a vacuum, so your tip rotated up when the cartilage above it was removed and left unsupported......