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Can asymmetry on columella be fixed by a revision surgery with local anesthesia? (Photos)

G
ginniRDTSep 9, 2023

Have surgery 2,5 years ago and now that the swelling is gone i’ve noticed an asymmetry on new columella. Can this be easily fixed by a revision surgery with local anesthesia?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Gary M. Horndeski, MD
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Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
4.6 | 319 Reviews
Answered on Sep 25, 2023
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Donald Groves, MD

Hello and thank you for your question. I am sorry to hear you are so unhappy after your prior surgery, I truly empathize with you, as no one should feel uncomfortable in their own skin. By 3 years post-op, all the swelling should be fully resolved. A revision (tertiary) open septorhinoplasty can...

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Gary M. Horndeski, MD

The technique I use is septocartilage as a spreader graft to create more projection of the tip. Best Wishes, Gary Horndeski, M.D.

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Selcuk Inanli, MD

Hello! Thank you for your question. As far as I can see from your question you need also alar base plasty for your nose base. This means closed rhinoplasty would not help you to achieve your goals. If you want you can have closed but I recommend you open rhinoplasty surgery. Best Regards!

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Donald Groves, MD

Hello and thank you for your question. After rhinoplasty (nasal surgery), the nose can become REALLY swollen, particularly around the tip, and this swelling can take a LONG TIME to resolve (up to 2 years to fully resolve). Unfortunately without being in the operating room at the time of your...

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Eric M. Joseph, MD

Since you have very thin skin and since you are nearly looking at a completely healed result, Revision rhinoplasty surgery may not be in your best interest. You appear to have a natural looking and unoperated nasal appearance, and there are too many uncertainties with revision rhinoplasty, in my...

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Eric M. Joseph, MD

Your concern about a bump on the left side of your nasal tip is not clear from the single image that you posted. Generally, however, if there is nostril asymmetry or slight tip asymmetry, microdroplet Silikon-1000 injections maybe considered for permanently improving nasal tip symmetry and for...

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