I've been asking lots of questions because I've recently been completely botched. One thing I miss is my columella which was by and large cut off. What is left is still a bit curved. Can cartilage be added to restore it whilst maintaining a curved shape? Can you only manufactured a straight columella?
Answer: Revision rhinoplasty restoring columella shape Columella deformity following an unsuccessful nasal surgery can be related to many factors, the main ones being mishandling/unfavorable healing of the columella cartilage or deformities of the bottom part of the septum which may distort it as its intimate anatomic neighbor. Such conditions are common issues addressed during a revision rhinoplasty and often demand precise cartilage grafting via an open approach.
Helpful 2 people found this helpful
Answer: Revision rhinoplasty restoring columella shape Columella deformity following an unsuccessful nasal surgery can be related to many factors, the main ones being mishandling/unfavorable healing of the columella cartilage or deformities of the bottom part of the septum which may distort it as its intimate anatomic neighbor. Such conditions are common issues addressed during a revision rhinoplasty and often demand precise cartilage grafting via an open approach.
Helpful 2 people found this helpful
August 10, 2018
Answer: Columellar re-shaping My sincerest apologies for having a bad experience with your rhinoplasty. I feel that you may have not seen a surgeon whom specializes in the face, which now is of utmost importance. With regards to recreating a curved columella, or the re-establishment of the infra-tip break, this can be done with cartilage grafting techniques that can carefully be done.There are several talented Facial Plastic Surgeons in your region to choose from. I hope that this helps.
Helpful 1 person found this helpful
August 10, 2018
Answer: Columellar re-shaping My sincerest apologies for having a bad experience with your rhinoplasty. I feel that you may have not seen a surgeon whom specializes in the face, which now is of utmost importance. With regards to recreating a curved columella, or the re-establishment of the infra-tip break, this can be done with cartilage grafting techniques that can carefully be done.There are several talented Facial Plastic Surgeons in your region to choose from. I hope that this helps.
Helpful 1 person found this helpful
August 10, 2018
Answer: Can revision rhinoplasty restore a curved columella? Restoring a natural curve to a columella on revision is challenging. You are correct that it is easier to straighten a columella than produce one that is more curved, and can only be done with cartilage grafting. The challenge is to do this without the cartilage graft having a visible edge. An in person consultation really is necessary. If the tip projection is lowered, that will increase the curve of the columella but that may not be cosmetically desirable. Choose your surgeon carefully, and seek more than one opinion.
Helpful 1 person found this helpful
August 10, 2018
Answer: Can revision rhinoplasty restore a curved columella? Restoring a natural curve to a columella on revision is challenging. You are correct that it is easier to straighten a columella than produce one that is more curved, and can only be done with cartilage grafting. The challenge is to do this without the cartilage graft having a visible edge. An in person consultation really is necessary. If the tip projection is lowered, that will increase the curve of the columella but that may not be cosmetically desirable. Choose your surgeon carefully, and seek more than one opinion.
Helpful 1 person found this helpful
August 9, 2018
Answer: Can a revision rhinoplasty restore a curved columella? Revision rhinoplasty candidate I recommend getting a consultation to go over your concerns and your desired results. Revision rhinoplasty is a technically challenging procedure and I would suggest that you seek a surgeon that has a good track record for natural results. There a few select of these surgeons in each major city. I would look at their reputations, board certifications, and before and after pictures.
Helpful
August 9, 2018
Answer: Can a revision rhinoplasty restore a curved columella? Revision rhinoplasty candidate I recommend getting a consultation to go over your concerns and your desired results. Revision rhinoplasty is a technically challenging procedure and I would suggest that you seek a surgeon that has a good track record for natural results. There a few select of these surgeons in each major city. I would look at their reputations, board certifications, and before and after pictures.
Helpful
Answer: Liquid Rhinoplasty or Filler, Temporary or Permanent Is an Alternative to Revision Rhinoplasty Yes, you can be helped. And surgery, with a cartilage graft, is one of your options. However, you should consider filler. Impossible to determine without a consultation but many people have had an imperfect columella fixed, without surgery, using filler. Best wishes.Robert Kotler, MD, FACSBeverly Hills, CA
Helpful
Answer: Liquid Rhinoplasty or Filler, Temporary or Permanent Is an Alternative to Revision Rhinoplasty Yes, you can be helped. And surgery, with a cartilage graft, is one of your options. However, you should consider filler. Impossible to determine without a consultation but many people have had an imperfect columella fixed, without surgery, using filler. Best wishes.Robert Kotler, MD, FACSBeverly Hills, CA
Helpful
