Is it possible to lengthen the columella?

Question

I have recently had a rhinoplasty with unpleasant results. I had a regular-sized columella, and now my columella is too short. Thus from a front view, my nose looks flat and 'piggy'. I was wondering how it is possible to lengthen the columella (to get a V-shape) and whether the procedure is done under local or general anaesthetic.

Ali Totonchi, MD · Answer

It is hard to make any recommendation with out seeing the pictures, the short columella can be lengthened by different techniques.

Steven Wallach, MD · Answer

Without photos and preferablya  review of your preop and post-op photos I could  not fathom a guess other than saying "maybe."

Michael T. Somenek, MD · Answer

It is possible to lengthen the columella and typically requires the use of cartilage grafts. The cartilage is typically taken from the nasal septum, or if you don't have usable cartilage from your previous surgery it is harvested from the ear. This is something that is typically done under general anesthesia but depending on the amount of work that needs to be done can be modified accordingly. Make sure that you obtain consultation with a rhinoplasty specialist so that the problem can be addressed and treated appropriately.

Richard W. Fleming, MD (retired) · Answer

I need to see a full set of pictures as described on my website rather than relying on your verbal description. I'm not sure if your complaining about the actual length (projection) of the columella or tip rotation. Both problems can be corrected, usually with cartilage grafts.

Is it possible to lengthen the columella?

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Answer: Is It Possible to Legthen the Columella?

Answer: Is It Possible to Legthen the Columella?

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Is it possible to lengthen the columella?

Answers (4)

Answer: Is It Possible to Legthen the Columella?

Answer: Is It Possible to Legthen the Columella?

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.