Could Columella Still Have Swelling 14 Months After Open Rhinoplasty?

Hello guys, Its been nearly 14 months that i have had a open rhinoplasty and the tip is sligthly overrotated, But now the nose gives the impression that i have an hanging columella but only from the front view, the tip of the nose has only recently stopped swelling up in the mornings but the columella still swells up, do you reckon there is still swelling in the columella and would it shrink up? Please help :( many thanks.

Doctor Answers 3

Hanging columella after rhinoplasty

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At 14 months, the majority of your healing has occurred, so it's not likely the "hanging" appearance of your columella is simply swelling.  The medial crura may be too long, your ala may be retracted, or you may have excessive length to your caudal septum.  Touch base with your surgeon to get a better sense, since without know the details of your surgery we can only guess as to what is causing the issue.  


Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Swelling at 14 months after Rhinoplasty

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I doubt that this is swelling. It's probably the caudal septal cartilage. You would need to have a caudal septal resection to fix this.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Columellar Swelling 14 Months after Open Rhinoplasty

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It is unlikely that a hanging columella is secondary to swelling 14 months after an open rhinoplasty. If there is any doubt it would be best to wait another 6 months to see if it improves. It is also unlikely that tip rotation will decrease. Pictures would help us evaluate your nose.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

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