Is it possible to round out and fix a columella double break from an extended shield graft? (photo)

December 31, 2024
Asked By:Caring3081

Is it possible to round out and fix a columella double break from an extended shield graft? I want it to be one smooth line instead of dipping inward. I don't want to move my SEG any lower at the base. Is a tiny piece of perichondrium enough to smooth this out? I attached pictures of what the double break looks like vs how i would like it to look (notice the base of my columella has not been lowered any further down onto my philtrum).

2 photos

Answers (7)

From board-certified doctors and trusted medical professionals
MOST RECENT
January 20, 2025

Answer: Please consider re-asking your question with better photographs.

Eric M. Joseph, MDBoard Certified Facial Plastic Surgeon
MOST RECENT
January 20, 2025

Answer: Please consider re-asking your question with better photographs.

Eric M. Joseph, MDBoard Certified Facial Plastic Surgeon
January 15, 2025

Answer: Subdomal graft

Gerald Minniti, MD, FACSBoard Certified Plastic Surgeon
January 15, 2025

Answer: Subdomal graft

Gerald Minniti, MD, FACSBoard Certified Plastic Surgeon
January 15, 2025

Answer: Shave down

Gary M. Horndeski, MDBoard Certified Plastic Surgeon
January 15, 2025

Answer: Shave down

Gary M. Horndeski, MDBoard Certified Plastic Surgeon

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January 15, 2025

Answer: Correction of columella brake

Zoran Potparic, MDBoard Certified Plastic Surgeon
January 15, 2025

Answer: Correction of columella brake

Zoran Potparic, MDBoard Certified Plastic Surgeon
January 15, 2025

Answer: Columellar onlay graft

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon
January 15, 2025

Answer: Columellar onlay graft

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon

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