Columellar surgery method? (Photo)

Question

I'm considering techniques like the v-y advancement for columella extension post-rhinoplasty two years ago to elongate my nostrils for a more elegant look I am okay with scarring if it means achieving the desired shape. My alar was not resected in surgery and its stil as long as it was , only the columela is short. I know that columelar graft can achieve projection but it wont make my columela skin less tight and small. What I am interested in first is columelar skin extension.

Eric M. Joseph, MD · Answer

The diagram that you posted next to your nasal photo is an example of turning a broad flat nasal appearance into a narrower and more projected nasal appearance. Techniques were utilized to achieve this include a columellar shoring strut graft, and sometimes an extended shield graft. I hope this helps. Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The best way to elongate the columella is through cartilage grafts. The skin will not dictate this, but rather the structural support of the columella will. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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