Columella, Can It Be Pulled Back Down?

can my columella be pulled back down? the length from the front and upturned tip looks terrible. I want to revert back to way it was. How can this be done?? see picture... (From the front, tip looks worse than side view) just want to know how it can be done... really appreciate your input

Doctor Answers 4

Increased Columellar Projection with Cartilage Grafts

The columella can be pushed back down by replacing what was removed to retract it...cartilage at the end of the caudal septum. A cartilage graft added to the end of the septum can move the columellar soft tissue in front of it forward. (down) An alternative approach is an onlay graft on the caudal end of the medial footplates of the lower alar cartilages. 

Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Columella Reshaping

The answer is - yes in some cases. The columella can be lengthened by adding cartilage to this area to bring the columella down (or out). Can it be done to the where your nose used to be? Possibly. Make sure you consult with a revision rhinoplasty expert.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 40 reviews

Short Nose after Rhinoplasty

The nose can be lengthened after your rhinoplasty with cartilage grafts. You do not mention when your surgery was done. Immediately after surgery temporary swelling may cause this look. Wait at least 6-9 months after the original operation before considering a revision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Increasing Length and Improving the Upturned Tip

   Yes the length of the nose can be increased and the upturned tip can be lowered.  Part of this will be based upon what was done during the first surgery with regard to suture techniques, if any.  Cartilage grafts can be used to extend the length and lower the tip.  Find a board certified plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.