How to fix a protruding caudal septum? (photo)

Thank you for the photos and your question. When the septum is too long at the base, it can push down on the upper lip. This can change the smile or create a horizontal crease in the upper lip. In most cases, trimming the caudal septum will help. However, depending on where the tip cartilages are attached and any scar tissue that may be present from your first surgery, the repair and reconstruction of the tip may not be totally straightforward. It would be best to see a couple revision rhinoplasty specialists to have an examination and discuss your options. Take care and best of luck!

Hello, thank you for question and provided photos, As revision Rhinolasty can take more time to heal due to previous alterations, and it is needed to know that after completing one year healing process a revision can be performed.Reconstruction of a failed Rhinoplasty requires professionality, when you can benefit from Closed and Atraumatic technique, you will be provided maximal healing, minimal edema&swelling you will be prevented a scar across your columella and tissue damage.Regards,

Hello,Rhinoplasty does not address the function of the muscle that draws the upper lip upward and the tip of the nose downward. The nose will always seem to droop when you smile because this is the function of a muscle. However, the tip can be rotated upward with many different types of maneuvers so that at rest as well as smiling your nose appears shorter. Based on the photos you have provided it is difficult to determine whether trimming the caudal septum will achieve this end. I encourage you to seek a consultation with a board-certified facial plastic surgeon who specializes in rhinoplasty. Best of luck.

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

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!