Persistent Columella retraction. Any suggestions?

If the columellar retraction is due in part to contracted soft tissue at the base of the nose, the problem can be difficult to fix because the skin cannot stretch enough to lower the columella and open the naso-labial angle.  In these cases, filler or plumping grafts are unlikely to be effective as they probably won't be able to push down into the contracted soft tissue.  A caudal strut is more likely to be effective but only if it is strong and stiff enough and leveraged (stabilized) firmly onto surrounding stable structures, such as your native caudal septum (lower border of the septum).  The video link below describes my approach to the short nose--many of the principles apply to a retracted columella (especially the septal extension graft).

Hi,First of all let the healing process to finish, however this is usually the legacy of Shortining of the caudal end of the septum! A septal extension graft can help !Appreciate if you could put on some pictures on!Best wishesMr J Tahery Chester UK