Is it possible to pull the entire columella down to make nose straighter? (Photos)

Question

I had a lot of trauma in the tip and columella area that caused my nose to turn upward and become wider than it already was before. And retracted columella. Also had nasal trauma injury where I had a hard pull to my nose and seemed to cause a bit of saddle nose worse than I already had and footplates poke out more now. Is it possible to pull the columella as far as the picture below and suture it to be pulled together more? I would like to keep my bump and the roundness since I am mixed w black!

Eric M. Joseph, MD · Answer

Based on your photos, you would not do not appear to have suffered from nasal trauma, and your columella retraction is not severe. It's probably best to live with this since repair of a retracted columella is typically performed in conjunction with other rhinoplasty techniques. As an isolated procedure, I'm not sure it's worth the uncertainty associated with such a delicate procedure of millimeters. Thank you for your question. Sincerely, Dr. Joseph

Jeffrey H. Spiegel, MD · Answer

Sure - we can adjust that.  The first part is to determine why the columella retracted. most likely you have some loss of cartilage in the area. Restoring that cartilage should help correct the situation. This would take just over an hour in the operating room with one week of a taped nose afterwards.

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Is it possible to pull the entire columella down to make nose straighter? (Photos)

Answers (2)

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