My caudal septum is very bottom heavy and causes no space between the upper lip and base of the nose when smiling I have had a primary rhinoplasty (collumella strut). How do you reduce the base of the nose without dropping the tip due to a caudal septum trim? I want 3mm+ of caudal septum removed from the base. I've had a caudal septum trim but my septum protrudes so far down it sits next to my lip when smiling.
March 31, 2019
Answer: Protruding Caudal Septum Secondary rhinoplasty surgeries can be more challenging due to the scar formation from the previous surgery. Based upon an exam, one can determine if your caudal septum is deviated and to what degree there is excess. It is also helpful to know how long it has been since your primary rhinoplasty. I would recommend being evaluated by a plastic surgeon for a thorough examination. There are several surgical maneuvers possible to help obtain your desired results. Dr. Eric J. Wright
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March 31, 2019
Answer: Protruding Caudal Septum Secondary rhinoplasty surgeries can be more challenging due to the scar formation from the previous surgery. Based upon an exam, one can determine if your caudal septum is deviated and to what degree there is excess. It is also helpful to know how long it has been since your primary rhinoplasty. I would recommend being evaluated by a plastic surgeon for a thorough examination. There are several surgical maneuvers possible to help obtain your desired results. Dr. Eric J. Wright
Helpful
March 31, 2019
Answer: Rhinoplasty I have seen your situation many times. You have what is know as a hanging columella. This is usually dues to failure to shorten to caudal septum adequately but could also result from the columella strut itself. You may need the columella strut removed but then you might lose tip projection as well. Good luck!
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March 31, 2019
Answer: Rhinoplasty I have seen your situation many times. You have what is know as a hanging columella. This is usually dues to failure to shorten to caudal septum adequately but could also result from the columella strut itself. You may need the columella strut removed but then you might lose tip projection as well. Good luck!
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