Post rhinoplasty. Is the columella hanging? Does it need corrected? (Photo)

Question

Rhinoplasty 15 months ago. At first was very satisfied. Nose looks good in many angles but tip still seems droopy to me. What do you think needs corrected if any? I had a straight bridge already so main purpose of surgery was tip correction. Does this seem balanced to you? I read Natalie Portmans nose is requested a lot and it does seem very similar to hers

Tanveer Janjua, MD · Answer

There is increased nostril show that can happen from alar retraction and /or loose hanging columella. It would be easier to make the columellar shorter than trying to fix the alar retraction. A conservative resection of the membranus septum behind the columella with reduce the nostril show. If that does not fix the problem only then think about fixing the alar retraction.RegardsDr. Janjua

Anthony Bared, MD, FACS · Answer

If you are not satisfied with the appearance of the tip, you can seek to have it revised.  The columella can be shortened so as not to "show" as much from the profile view.  The shortening of the columella can exacerbate the amount of nostril show from the front view of the nose so it is a procedure which needs to take this three-dimensional aspect into consideration.

Gerald Minniti, MD, FACS · Answer

Hello,
It appears you do have a hanging columella. A full exam is warranted, but if this is the only isolated problem, you might be a candidate for a smaller procedure that doesn't violate the tip or bridge. Be sure your surgeon is an ABPS certified/ASAPS member (or AAFPRS equivalent) who specializes in revision rhinoplasty. Best of luck!

Toby Mayer, MD · Answer

Yes, this is what you have. It is something your surgeon can correct with a minor surgery. Discuss this with him and if problematic seek a second opinion.

Daniel Barrett, MD · Answer

Dear Qna789,if you aren't satisfied with the results of your rhinoplasty, then you might consider a revision surgery to improve the columella. I would suggest you to consult a board-certified plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Post rhinoplasty. Is the columella hanging? Does it need corrected? (Photo)

Answers (10)

Answer: Hanging columella?

Answer: Hanging columella?

Answer: Rhinoplasty revision

Answer: Rhinoplasty revision

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Post rhinoplasty. Is the columella hanging? Does it need corrected? (Photo)

Answers (10)

Answer: Hanging columella?

Answer: Hanging columella?

Answer: Rhinoplasty revision

Answer: Rhinoplasty revision

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Recommended reading

Everything you need to know about Rhinoplasty

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