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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.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Marc Polacco, MD
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Dr. Marc Polacco, MD
Board Certified Facial Plastic Surgeon
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Answered on May 16, 2022
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John Michael Thomassen, MD

Fillers will not significantly lengthen your nose so this may be of limited use. Ear cartilage is limited and soft so it is also not that useful for lengthening. Rib cartilage would be best option. However, there is pain and scarring from harvesting. Another option is fresh frozen cadaveric...

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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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Andrew Miller, MD

Often times, if a dent arises in the nose after rhinoplasty, it can be improved with a filler. If this works, then silicone can be placed which will give a more permanent result. It is certainly easier than going through another surgery. Be sure to see an experienced injector for consultation.

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Eric M. Joseph, MD

If your droopy nasal tip appearance is bothering you, the best way to address this may be with revision rhinoplasty. In our experience, fillers do not lead to tip lifting. If you decide to do further surgery, your operative report may be helpful to see what has been done. Wishing you well. Dr Joseph

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Jeffrey H. Spiegel, MD

We do many revision rhinoplasties. It should be possible to cushion or reposition the nasal bones to minimize discomfort and improve the appearance.

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