Is there a minor thing that can be done to fix the dent and move the columella up?

Question

Revision rhinoplasty- columella strut Hello, I had an asian rhinoplasty in March. A rib cartilage was used to build my nose. My nose is over projected and a bit too long for my small face. My main concern is the columella strut was so low that it’s pushing down on my lip causing a dent and a u dent on my smile. Is there a minor thing that can be done to fix the dent and move the columella up so it’s not pushing my lip down or to cut the tip a little shorter? I don’t want to go under a full on rhinoplasty again. My smile is ruined.

Marc Polacco, MD · Answer

Thank you for your question, and I'm sorry you're going through this. Although an in-person exam would be helpful to get an idea of the exact cause and develop ideas regarding treatment, it is possible that reducing the size of the graft may help. This could be done under local anesthesia in the office, with a small incision on the inner edge of the nostril. Again, I can't be certain this would help, but it might be a place to start with little risk or downtime. I hope this helps, and I wish you all the best.
-Dr. P

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! Thanks for your questions. Depending on how the graft was placed and how big it is determines the effect on the upper lip. I do counsel patients on this prior to surgery that some change may be expected, though yours seems significant. That doesn't mean that changes can't be made. It may require repositioning of the graft or simply trimming it. Sometimes, this can be performed in office under local, but it depends on the extent of the repair. I would seek consultation with a facial plastic surgeon who performs rhinoplasty often and see what may be able to be done. Hope this helps you!

Is there a minor thing that can be done to fix the dent and move the columella up?

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Is there a minor thing that can be done to fix the dent and move the columella up?

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.