Hanging columella. How hard is this to fix?

Had two surgeries in 1996 and 2001 still have hanging columa . How hard is this to fix ?

Doctor Answers 4

Hanging columella

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It is not difficult to fix a hanging columella but with every revision surgery there is more scar tissue build up and that can lead to a poor result. 


Dr. J

Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Fixing a hanging columella

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It is a very straightforward repair to fix a hanging columella. The procedure involves removal of excess skin and cartilage from inside the nose along the columella. For more information  and many examples of columella-plasty, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Revision nose

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anjalika, it all depends on your exam; see an experienced facial plastic specialist with good photos. Make sure they have been doing only faces for decades. See the video and good luck!

M. Sean Freeman, MD
Charlotte Facial Plastic Surgeon
4.7 out of 5 stars 55 reviews

Hanging columella

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Thank you for your question. 

It's very difficult to answer your question with any specifics without seeing any photos. The possibility and ease of revision will also depend on what was done in prior surgeries. In general, hanging columella can be repaired. However, it is critical to make sure that that is the actual problem, and that you're not dealing with alar retraction, as alar retraction is addressed with completely different maneuvers. 

Consult with an experienced revision Rhinoplasty surgeon. 

Good luck! 

Michael Yerukhim, MD
Cleveland Facial Plastic Surgeon

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.