Can my columella be pulled back down? (Photos)

Question

I had a closed revision (I had a open primary one) rhinoplasty and I asked for a de projection and lift my hanging columella. Now I regret it so much because it’s too lifted that I dont even have a tip. My question is, if this is a closed technique, how did he pull the columella up and is there a way to bring it down exactly as it was?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  It is possible to move a columella lower with either a septal extension graft or a columellar graft.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

William Portuese, MD · Answer

A side profile photograph is required to make a determination about having a hanging columella and being a candidate for a columella-plasty

Can my columella be pulled back down? (Photos)

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Can my columella be pulled back down? (Photos)

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Everything you need to know about Rhinoplasty

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