I have a naturally hanging columella, and it seems to be attached to my upper lip at a weird angle. Is this something that can be addressed during rhinoplasty? I've read that the tip of the nose can be tricky, and might have a higher rate of revision. Can anyone recommend a facial plastic surgeon in Georgia?
October 6, 2012
Answer: Nasal tip improvements with rhinoplasty
You have several issues apparent from your photos with your nasal tip, all of which can be effectively managed with a rhinoplasty. The alar rim needs to be supported and lowered with cartilage grafting. The nasal tip is also a bit wide and amorphous on anterior view, a problem corrected by sculpting and repositioning the lower lateral cartilages during rhinoplasty. There are several possible reasons for the fullness at the lip/columellar junction which would be best diagnosed during a consultation.
Helpful 1 person found this helpful
October 6, 2012
Answer: Nasal tip improvements with rhinoplasty
You have several issues apparent from your photos with your nasal tip, all of which can be effectively managed with a rhinoplasty. The alar rim needs to be supported and lowered with cartilage grafting. The nasal tip is also a bit wide and amorphous on anterior view, a problem corrected by sculpting and repositioning the lower lateral cartilages during rhinoplasty. There are several possible reasons for the fullness at the lip/columellar junction which would be best diagnosed during a consultation.
Helpful 1 person found this helpful
Answer: Hanging columella
A hanging columella can be addressed by trimming back both cartilage and skin from the inside of the nose. In addition, the depressor septi ligament may be released to prevent the tip from drooping down upon smiling. Any other tip adjustments can be performed at the same time to prevent the downward look of the tip itself. This can all be done through endonasal techniques or closed rhinoplasty. The rate of requiring a touchup in our practice is approximately 10%.
Helpful 1 person found this helpful
Answer: Hanging columella
A hanging columella can be addressed by trimming back both cartilage and skin from the inside of the nose. In addition, the depressor septi ligament may be released to prevent the tip from drooping down upon smiling. Any other tip adjustments can be performed at the same time to prevent the downward look of the tip itself. This can all be done through endonasal techniques or closed rhinoplasty. The rate of requiring a touchup in our practice is approximately 10%.
Helpful 1 person found this helpful