I want to lengthen my columella, what is the best method & can I do it at 6 month-mark? (Photos)

Hello! Thank you for your question.I have checked your case from the photos you provided.Your nose shape looks great overall. Anyway as you mentioned you have a hanging columella that can be corrected (a few mm). You will most probably need rib cartilage reconstruction. I recommend you to wait at least 1 year after your last surgery to get a new revision.Best regards!

Thank you for your question and photos. It is possible to lengthen the columella during revision rhinoplasty, though the technique and type of procedure would need to be determined with an in-person evaluation. Your nose will continue to recover for at least one year after your initial surgery, so it is recommended to wait until this time to assess your final results and consider revision.

Before selecting revision rhinoplasty, please note that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, assess your concern, and determine the best approach for you.

If you want a natural and small change of the columella, surgery is possible through cartilage graft with a closed approach, and in that case, it is judged that there is little concern about necrosis.
However, if you want to make some big changes, you need an open approach. In-person consultation and examination are needed to determine what level of change should be aimed at.

Hello @Sbsb123, thank you for your question. It is important to wait at least 6 months after your initial rhinoplasty before considering any additional surgical procedures in order to allow the tissue to heal properly. After such a time frame, you may consult with your specialist and determine whether or not a revision rhinoplasty would be beneficial in this case. Each case is unique, and only a board-certified plastic surgeon who has examined you and knows your medical history can provide accurate advice on how to proceed. The techniques that might be used are cartilage grafting or fillers that are a less invasive an permanent solution. The optimal procedure for you depends on the particulars of your nose, prior operations, and your own personal goals. A consultation is vital to establishing a surgical plan that meets your needs, expectations, and takes into account what is realistically possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

The appearance of slight columella retraction could be due to the fact that your tip is still somewhat swollen. It's the appearance were to remain as it is, a few droplets of Silikon-1000 in the mid Columella may be helpful for achieving a straighter columella appearance on profile. If this is your only concern about your nasal appearance after rhinoplasty, I would not recommend further surgery. Hope this helps! Dr Joseph

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Tatiana Basset
I am 62 years old. I want to have a facelift/necklift due to wrinkles on chest, sides of eyes, and jowls. If after I have a facelift, do I now have to sleep on my back to prevent wrinkles? I've slept on my side all my life

It's not necessary to sleep on your back after a facelift or necklift to prevent wrinkles, but it can help. Sleeping on your back can reduce pressure on your face and prevent the development of new wrinkles or exacerbation of existing ones.

However, it's important to prioritize your comfort and the quality of your sleep, especially as you recover from surgery. If sleeping on your back is uncomfortable, you can try using a pillow to prop yourself up slightly or sleeping on a recliner for the first few weeks after surgery.

It's also important to keep in mind that a facelift or necklift is a surgical procedure with potential risks and complications, and it's not a one-time solution to aging. Even after the surgery, you may still develop new wrinkles over time. It's important to maintain a healthy lifestyle and skincare routine to help slow down the aging process and maintain the results of your surgery.




Tatiana Basset
Hi I had lower bleph 8 months ago I think my lower incision wound was stitched incorrectly and caused a skin bulge which wrinkle lines coming from the bunched scar into my under eye skin , is it likely that this will flatten . The scar is also quite bad

It's possible that the skin bulge and wrinkles you are experiencing as a result of your lower blepharoplasty may improve over time, but it's also possible that they may not.

Scar healing and tissue remodeling after surgery can take up to a year or more, so it's still possible that the scar and surrounding skin will flatten and smooth out as the healing process continues. However, if the scar is quite bad and there is significant skin bunching or wrinkling, it's possible that you may require additional treatment or revision surgery to achieve the desired result.

It's important to schedule a follow-up appointment with your surgeon to discuss your concerns and options for treatment. Your surgeon may recommend non-surgical treatments, such as laser resurfacing or injectable fillers, to help smooth out the skin and improve the appearance of the scar, or they may recommend revision surgery to address the underlying issue.




Tatiana Basset
Orange peel and acne scars Hello, What treatments can I do to improve my skin texture? I’ve have microneedling, chemical peels, one round of clear and brilliant, and I’ve tried PRP. My acne scars have improved, but minimally. I would like to know if there are any other options to improve my skin texture."

There are a few other options that you can explore to improve your skin texture and address your orange peel and acne scars. Here are some treatments that you may consider:

Fractional laser resurfacing: This treatment uses laser energy to create microscopic wounds in the skin, stimulating collagen production and promoting skin renewal. Fractional laser resurfacing can improve skin texture, reduce the appearance of acne scars, and even out skin tone.
Dermal fillers: Injecting dermal fillers into the skin can help fill in depressed acne scars and improve the texture of the skin. The effects of dermal fillers are temporary and may need to be repeated periodically to maintain results.
Subcision: This is a minimally invasive procedure that involves using a needle to break up the fibrous bands that are pulling down the skin and causing the depression in the scar. This allows the skin to lift up and smooth out, improving the appearance of the scar.
Dermabrasion: This is a surgical procedure that involves removing the top layers of skin with a rotating device. Dermabrasion can help improve skin texture, reduce the appearance of acne scars, and even out skin tone.
It's important to consult with a dermatologist or a plastic surgeon who specializes in treating skin texture issues and acne scars. They can assess your skin condition and recommend the most suitable treatment options based on your needs and goals. Keep in mind that the results of these treatments may vary, and multiple sessions may be necessary to achieve the desired outcome.




Tatiana Basset
I had a closed revision rhinoplasty im 4 month now I know that i'm still healing, my rhinoplasty went good i like my nose despite the short columella I hate it and I want to lengthen it My question is can i do it after the 6 month mark in closed surgery again or is there any chance of necrosis? And what is the best method ? Ps: i had a crooked nose with hanging columella after my primary surgery

It is generally recommended to wait at least six months to a year after a rhinoplasty surgery before undergoing any additional procedures, including lengthening the columella. This allows enough time for the healing process to complete and for the nasal tissues to fully settle into their new shape.

It is possible to perform a closed revision rhinoplasty to lengthen the columella, but it is important to consult with your surgeon to determine the best course of action for your individual case. Your surgeon will assess your nasal anatomy and skin thickness, as well as the extent of the lengthening required, to determine the appropriate technique for your revision surgery.

In terms of the risk of necrosis, this is a potential complication with any surgical procedure, including rhinoplasty. However, the risk is low with closed rhinoplasty and is typically higher with open rhinoplasty, particularly in cases where there is a need for significant changes to the nasal tip or columella.

Overall, it is important to discuss your concerns and goals with your surgeon and to have realistic expectations for the outcome of the procedure. Your surgeon will be able to advise you on the best approach to achieve the desired results while minimizing the risks of complications.

Best of luck !