Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

see all q&a
Posted underRevision Rhinoplasty q&a

Removing columellar strut graft after rhinoplasty?

morgaynekAug 11, 2018
I am now one year post-op. Something that has been bothering me this whole time is that my doctor used a very long columellar strut graft. I don’t like this for many reasons - it creates tension between my nose and top lip, making my smile look weird; it makes my tip more upturned than I would like; it makes the tip incredibly hard and uncomfortable; it’s so long that I can feel the bottom of it far down from my nose. How hard would it be to get it shortened/removed by a different doctor?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. David C. Pearson, MD
David C. Pearson, MD profile photo
Dr. David C. Pearson, MD
Board Certified Facial Plastic Surgeon
4.5 | 38 Reviews
Answered on Aug 14, 2018
Answer
🔗 Link
Dr. Tanveer Janjua, MD
Tanveer Janjua, MD profile photo
Dr. Tanveer Janjua, MD
Board Certified Facial Plastic Surgeon
4.8 | 274 Reviews
Answered on Aug 13, 2018
Answer
Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Aug 13, 2018
Answer

More Revision Rhinoplasty Questions

Top Answer
User Avatar
Jacob Sedgh, MD

 In general it is preferred for the  two procedures to be done at the same time unless they are both long surgeries (revision rhinoplasty could be a particularly lengthy one). Otherwise if separating the two surgeries then three month is a reasonable interval for a healthy person with good c...

+5 answers
Top Answer
User Avatar
Jacob Sedgh, MD

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...

+9 answers
Top Answer
User Avatar
Nima Shemirani, MD

Dear Mike0016,Swelling may persist after 3 years, but it could also be time that you can do something about itSteroid injections can thin the skin, especially around the tipAccutane is another great treatment to thin the overall skin of the nose.  Typically, you need to take the medication for ...

+3 answers
Top Answer
User Avatar
Thomas A. Mustoe, MD, FACS

The bones are indeed narrowed more than ideal.  The alternatives are to re break the bones which would require formal revision rhinoplasty or fill the area in.   I have had long term success with fat grafting.

+3 answers
Top Answer
User Avatar
Suleyman Tas, MD, FEBOPRAS

Dear Realself user, It is way to early for you to be worried about the thickness of your nose. Give yourself more time since the swelling will reduce alot within 2 months. Keep in mind that it takes up to a year for the nose to set completely.   Best of luck! TAS Aesthetic Surgery Clinic

+4 answers
See all Revision Rhinoplasty Q&A
See more Revision Rhinoplasty Q&As
See all Q&As
SEE REVISION RHINOPLASTY GUIDE →