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How Do You Access Beneath Columnella Skin (Closed Rhinoplasty)?

Nasty Nose IllinoisMay 11, 2022
I need a revision rhinoplasty after failure of my first rhinoplasty, and one of the issues has to do with removing a hard lump of scar tissue located just under the skin of my columnella....How is this area accessed during a closed revision as opposed to an open revision rhinoplasty? Thank you.

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Dr. Marc Polacco, MD
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Answered on May 16, 2022
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Pranav Jambula, MBBS, MS, MCh

Good morning Maverick03, I hope this message finds you well. In a rhinoplasty that requires augmentation via cartilage we have various options on the table. To accentuate the nasal tip and straighten the septum, if current septal cartilage falls short we prefer to use harvested rib cartilage. If...

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Oakley Smith, MD, FRCSC

In general it is ideal to wait at least 12 months before any revision surgery to allow full healing to occur. There may be a few exceptions to this, and this would be best determined by your rhinoplasty surgeon and your particular case.

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Nima Shemirani, MD

Hi @Genuine209146! I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima!

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