Can a rhinoplasty lengthening the columella shorten the philtrum? (photos)

Question

I want to get a rhinoplasty to fix multiple issues with my nose, one of the fixes involving lengthening the columella. I also happen to have a too-long philtrum. Will lengthening my columella also fix a long philtrum?

Gerald Minniti, MD, FACS · Answer

Hello,What you want is not called 'lengthening the columella'. It is actually lengthening the caudal septum so that your columella sits lower than the ala, and will also shorten the philtral length. So, yes, it will improve  your lip aesthetics too. Best of luck!

Toby Mayer, MD · Answer

Your nose and philtrum look normal and you would be taking too much risk vs. the gain. I have done this surgery for 40 years and I would tell you ---fNO surgery,

Robert H. Woods, MD · Answer

Tough problem to solve surgically. You have to move the septal cartilage and the medial crura of the lower lateral cartilage forward. This may require grafting of cartilage which can be difficult to secure in a straight line. Your upper lip can be shortened by making an incision following the contour of you ala and the junction of the collumela and excise excess lip skin to pull your lip upward. Can be difficult to disguise this incision and make everything look normal. So, in other words, you need to find a surgeon with a big S on his scrubs to help you out with this so it does not get screwed up in an irreversible manner.

Myriam Loyo, MD · Answer

Hi there, thank you for your photos and questions. I am going to be very honest with you. In my opinion, your current photos show a beautiful nose and very natural nose. I might be missing something in the photos that could be better seen in a consultation in person and full face analysis. But I would caution you about pursuing rhinoplasty particularly if your main concern in the columella and the philtrum.I would encourage you to consider filler augmentation for your upper lip or even a subnasal lip lift before pursing rhinoplasty.Hope you find this information helpful

Can a rhinoplasty lengthening the columella shorten the philtrum? (photos)

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Can a rhinoplasty lengthening the columella shorten the philtrum? (photos)

Answers (4)

Answer: Rhinoplasty to change the junction of the lip and the nose?

Answer: Rhinoplasty to change the junction of the lip and the nose?

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Everything you need to know about Rhinoplasty

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