2 years post op - what can be done to help correct my bulbous tip, drooping columella and occasional swelling? (photo)

Question

It’s been almost two years since I’ve my sinoplasty/rhinoplasty. I still have a very bulbous tip/drooping collumela that still swells occasionally. I have thick skin but was never told to tape. I’ve already gone through one round of steroid injections that gave me some temporary results. I’m now seeing some bumps on my tip which I am concerned might be scar tissue. Is there anything I can do now short of revision?

Ronald J. Edelson, MD · Answer

If you have a hanging columella and want the tip raised up it’s very straightforward  to do this. I do this through a closed approach. It’s very common to do this in a revision rhinoplasty.

Eric M. Joseph, MD · Answer

Unfortunately, the only method of elevating a droopy tip would be with Revision rhinoplasty surgery. Since you are two years after rhinoplasty surgery, I suspect that steroid injections might not be helpful, and could lead to visible irregularities. I hope this helps. Sincerely, Dr. Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photo It would be possible to make a more accurate evaluation if you could send your photos at 95 degree angles from the side and front profile, but as far as I can see from this photo, you have columella and I would recommend you a revision operation to get rid of this image.
It would be better face to face consultation.
Best Regards!

Anil R. Shah, MD · Answer

Several options are available to address your concerns, including starting a taping regimen, undergoing additional rounds of steroid shots, using laser therapy to address possible scar tissue, or applying a high-strength retinol to the nose. We have had amazing results with out patients using these methods.

Lexie Wang, MD · Answer

It's hard to tell from this one angle of picture. If you notice changres with steroids, then you should definitely keep trying it until they no longer work or until there are some of the less favorable side effects of steroid injection.

Oakley Smith, MD, FRCSC · Answer

Hi
It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure if needed and the post op recovery 
process.

2 years post op - what can be done to help correct my bulbous tip, drooping columella and occasional swelling? (photo)

Answers (6)