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Why is my columella crooked after rhinoplasty? (Photo)

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xxenaaJun 28, 2024

I had a rhinoplasty where my nose was straightened and a lot of tip grafts were placed. Why is my columellar looking crooked? My nose is straighter than before but columellar is not.

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Dr. Selcuk Inanli, MD
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Dr. Selcuk Inanli, MD
Facial Plastic Surgeon
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Answered on Jul 25, 2024
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Jun 29, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. What you are describing is due to asymmetry in the lower lateral Cartilage domes. This could be corrected with a revision and placement of mastoid fascia tip graft to provide better tip unification and symmetry. With good surgical technique, you could have...

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Andrew Miller, MD

It is difficult to tell from one photo, but the tip appears a bit long and droopy and possibly a little pinched. The best thing to do would be to see an expert rhinoplasty surgeon to fully examine you and perform computer imaging. That way you could see if the changes that are made are to your...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. The redness when you lie down is likely being caused by increased venous outflow obstruction. Hopefully as your swelling decreases, this will improve.. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It really depends on the techniques used by your surgeon during your surgery. Steroid injections may be helpful depending on how far out you are from surgery. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Ear cartilage generally speaking did not work well for this type of situation. You require much more complex maneuvers including nasal tip deprojection and a mastoid fascia tip graft. With good surgical technique, you could have an outstanding result. I...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph alone it is not possible to determine that. You will likely benefit from a Revision with Nasal Tip Deprojection and removal of your tip gragy with replacement with a mastoid fascia tip graft. With good surgical technique, you could...

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