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Rhinoplasty retraction of the columella, can this be fixed? (Photo)

Julianaf.Sep 29, 2024
Hi, I had surgery 5 months ago to fix a small hump on my bridge and slightly project the tip as it drooped when I smiled. I’m unhappy with the results and unsure of the next steps. My doctor suggested a revision but I haven't seen him in person yet as he’s abroad, and I'm struggling to find guidance here. Could fillers or a closed rhinoplasty address these issues? Recent photos show columella retraction. Any advice would be greatly appreciated. Thanks for your help!

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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Sep 30, 2024
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William Portuese, MD

Since you're looking to perform a third rhinoplasty, you should seek out a rhinoplasty specialist with extensive experience, producing natural long-term results. You're also going to require an in-person consultation to figure out what is causing the problem, residual cartilage, or thick skin....

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Eric M. Joseph, MD

Based on your photo, you appear to have relatively thin nasal skin. Since you are several years after your surgery, it is possible that what you are seeing or feeling may be cartilage and not scar tissue. If you like, feel free to re-ask your question with photographs that better demonstrate...

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William Portuese, MD

You appear to have thick skin in the entire tip area of your nose, so you might try a series of steroid shots before embarking on another rhinoplasty procedure

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