I have a good bit of excess caudal septal cartilage at the base of my nose. This forces my philtrum to protrude and creates a very obtuse nasolabial angle. If this is corrected, how can the skin be addressed? Will it be sutured up and back into place? I'm afraid that I skin will remain loose and hang. I have no interest in changing my whole nose, just the columellar area and lip where it protrudes.
August 13, 2019
Answer: Hanging columella Hello and thank you for your question. Based on your photograph, you may benefit from a caudal septal trim and lifting the soft tissue to elevate your columella. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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August 13, 2019
Answer: Hanging columella Hello and thank you for your question. Based on your photograph, you may benefit from a caudal septal trim and lifting the soft tissue to elevate your columella. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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August 17, 2019
Answer: Columellar deformity The fullness at the base of the septum is part of a set of physical characteristics referred to as a "tension nasal deformity." The correction is fairly straightforward and involves removal of excess cartilage and bone that causes the skin to be tight in that area. Sometimes removal of the redundant nasal lining is required to recontour the skin (if it is made loose) after removal of cartilage and bone. You seem to have a very good understanding of the problem and should be pleased with the result of the correction. Good luck to you.
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August 17, 2019
Answer: Columellar deformity The fullness at the base of the septum is part of a set of physical characteristics referred to as a "tension nasal deformity." The correction is fairly straightforward and involves removal of excess cartilage and bone that causes the skin to be tight in that area. Sometimes removal of the redundant nasal lining is required to recontour the skin (if it is made loose) after removal of cartilage and bone. You seem to have a very good understanding of the problem and should be pleased with the result of the correction. Good luck to you.
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