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.
Answer: Can my loose columellar skin be fixed? hello thank you for your question and provided information as well. based in your question and the picture you showed What you explained is not an unusual problem. Both caudal cartilage and skin is removed and stitched. Artistry lies in precision of angles at which caudal septum is modified. That is what determines the outcome from this endeavor.in your case i can do rhinoplasty with technique open and elevate the tip .
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Answer: Can my loose columellar skin be fixed? hello thank you for your question and provided information as well. based in your question and the picture you showed What you explained is not an unusual problem. Both caudal cartilage and skin is removed and stitched. Artistry lies in precision of angles at which caudal septum is modified. That is what determines the outcome from this endeavor.in your case i can do rhinoplasty with technique open and elevate the tip .
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August 13, 2019
Answer: Hanging columella Thanks for the question. This us actually a simple fix which I’ve done several times. I would remove about a 4 millimeter strip if cartilage from the caudal septum as well as excess lining from the inside of the nose. This will relieve the tethering if your upper lip as well. Simple operation with easy recovery.
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August 13, 2019
Answer: Hanging columella Thanks for the question. This us actually a simple fix which I’ve done several times. I would remove about a 4 millimeter strip if cartilage from the caudal septum as well as excess lining from the inside of the nose. This will relieve the tethering if your upper lip as well. Simple operation with easy recovery.
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August 13, 2019
Answer: Can my loose columellar skin be fixed? (photo) Hi Troy,Excellent question. Fortunately in rhinoplasty when the nose is reduced, the skin always contracts down to "fit." In your case, your nasal spine at the base of your nose as well as some of your caudal nasal septal cartilage can be removed to decrease the obtuse lip-nose angle to a more masculine angle of about 90 degrees. As with any aesthetic treatment it is essential to choose your treating physician carefully based on their experience, skill, knowledge, care, and most importantly their natural artistic vision. A few excellent rhinoplasty surgeons I would recommend are Sam Lam, MD (Plano, TX), Rod Rohrich, MD (Dallas), and Ari Hyman, MD (Encino, CA). Good luck and be well.
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August 13, 2019
Answer: Can my loose columellar skin be fixed? (photo) Hi Troy,Excellent question. Fortunately in rhinoplasty when the nose is reduced, the skin always contracts down to "fit." In your case, your nasal spine at the base of your nose as well as some of your caudal nasal septal cartilage can be removed to decrease the obtuse lip-nose angle to a more masculine angle of about 90 degrees. As with any aesthetic treatment it is essential to choose your treating physician carefully based on their experience, skill, knowledge, care, and most importantly their natural artistic vision. A few excellent rhinoplasty surgeons I would recommend are Sam Lam, MD (Plano, TX), Rod Rohrich, MD (Dallas), and Ari Hyman, MD (Encino, CA). Good luck and be well.
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August 13, 2019
Answer: Hanging columella Hello and thank you for your question. Based on your
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August 13, 2019
Answer: Hanging columella Hello and thank you for your question. Based on your
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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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