Will Columella Fullness Subside with Time?

Columellar strut and tip swelling is frequently seen and may take 1 year to resolve. If at that time it is still present your surgeon can do a minor procedure to improve this.

Fullness in the columella after rhinoplasty at 6 months after surgery can be a contributing factor. A columellar strut is placed between the medial footplates which make up some of the columellar width. This can increase its width by 1 or 2mms dependent upon the width of the graft. That combined with persistent swelling will definitely make the columella appear slightly wider. Despite the widespread use of columellar struts, increased columellar width is not reported as being a significant problem with its use. I would wait a full year after surgery so that every little bit of swelling is gone before making a final judgment.