Is this a caudal septal deviation? If so, what could be done to correct it and also not have as much columella show? (Photo)

Question

This is a follow up from a previous question where the pictures didn't post.

Manish H. Shah, MD, FACS · Answer

Hello waterleak,Thanks for your question.Yes, in my opinion, you seem to have a caudal septal deviation.  An in-person exam would be necessary to confirm this.  Your areas of concern can be improved upon with a septoplasty procedure and possible repositioning of the maxillary crest.  As far as your columellar show is concerned, a little columellar septal suturing and possible anterior columellar shave can improve the roundness that you see on profile.  If you have other questions, please ask, or come visit us at our office in Cherry Creek.Have a great day,Thanks,Dr. Shah

William Portuese, MD · Answer

A septoplasty is performed to  improve airflow dynamics through the nose by straightening it to improve air flow. A caudal septal deviation just means that the end of the septum that is visible is deviated. When the columella is hanging as presented in the photographs, a columella-plasty can be performed to reduce the amount of columellar show.  A columella-plasty is considered cosmetic, and must be paid for by the patient. For many examples and more information about both procedures, please see the link and the video below

Myriam Loyo, MD · Answer

Hi there, Thank you for sharing your questions and photos.It does appear that the most anterior part of your septum, the caudal septum, is deviated to the right. That makes your nostril on that side smaller.A septorhinoplasty is the name of the surgery that can help straighten the caudal septum. The caudal portion of the septum supports the nasal tip, and hence is an important structural part of your nose. The caudal septum is straightened and tip support is reinforced during surgery. It is also possible to change the columella show at the same time. Hope this helpsGood luck!

Stephen Weber MD, FACS · Answer

Most likely, yes. In some cases the caudal septum is fine but the medial crura of the tip cartilages are deviated. However, most often the caudal septum is the issue. This can be remedied with a caudal septoplasty and any other issues with the septum can be addressed at the same time. Best.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Is this a caudal septal deviation? If so, what could be done to correct it and also not have as much columella show? (Photo)

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