I had my second revision last week to fix a retracted columella and tip asymmetry. Although there is a lot of swelling, tip asymmetry appears to have been restored, reflected in more symmetrical nostrils. However, the columella retraction still appears to remain. My surgeon told me a caudal strut was used - it has improved slightly, but my nasal-labial angle remains very acute. Could it be that swelling is obscuring the retraction? Are permanent fillers a solution? Plumping graft? Please help!
Answers (2)
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It's confusing, because I took a look at your after photos, and really, your profile looks great, except for what this columellar incision thing does to the bottom of the nose. In my previous post, I suggested that you shouldn't have your surgeon correct this, because if he thinks it's normal,...
There are many long term studies that support the use of irradiated rib cartilage for nasal reconstructive surgery. I have read these studies and still have some trepidation about using these grafts in revision rhinoplasty surgery due to the need for good vascularity in the recipient nose and ...
MSill93,I know most of those surgeons personally and all should be able to help. Drs. Miller and Pearlman are both great, as is Dr. Rizk in New York.In Boston, I do many of these as well and have lectured frequently on correcting exactly the problems you are having.It's unfortunate you have to ...
