Can nose columella be raised using closed rhinoplasty? Is it an easy fix?

Question

I am 8 months post op and am wondering I have a strong lower caudual septum which is pushing my columella down. Can this be fixed using closed? I feel like the tongue and groove technique has to be an open rhinoplasty? I understand trimming the lower caudal septum may fix things but if it has already been trimmed may he have to resort to the tongue and groove? I think it needs to be raised 2 or 3mm.

Boris M. Ackerman, MD · Answer

Closed rhinoplasty is an excellent method for some revision surgeries. Closed rhinoplasty is practiced by only a few experienced and skilled rhinoplasty surgeons. In your particular case, you should consider allowing more time for things to settle, as you could very well end up liking your result.

William Portuese, MD · Answer

The photographs demonstrate hanging columella with a scar present from the previous open rhinoplasty. A closed rhinoplasty approach can accomplish reduction of the hanging columella by  removal of excess skin and cartilage from that area with incisions placed completely on the inside of the nose. This will  help camouflage the obvious open rhinoplasty scar that is present. For many examples, please see the link and the video below

Richard W. Fleming, MD (retired) · Answer

Raising the columella with incisions inside the nose is a straightforward procedure for an experienced rhinoplasty specialist. You can ask your surgeon about the technique  but don't waste your time trying to determine the best approach..

Michael Elam, MD (retired) · Answer

Dear Jake, Most patients find a surgeon and the results that they like and then have their procedure either rhinoplasty or revision rhinoplasty performed using the technique that the surgeon prefers. I personally think you should wait for the final swelling to resolve over the next four to five months before you consider any revision surgery. It is important that during your consultation you discuss your goals and then weigh the risks versus rewards of revision rhinoplasty surgery. You may decide to leave well enough alone. Best regards, Michael V. Elam, M.D.

Can nose columella be raised using closed rhinoplasty? Is it an easy fix?

Answers (4)

Answer: Closed vs. Open Technique in Revision Rhinoplasty

Answer: Closed vs. Open Technique in Revision Rhinoplasty

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Can nose columella be raised using closed rhinoplasty? Is it an easy fix?

Answers (4)

Answer: Closed vs. Open Technique in Revision Rhinoplasty

Answer: Closed vs. Open Technique in Revision Rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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