What can I do for my dropping columella? (Photo)

Question

I had my 3rd rhinoplasty in August 2021. The first 6 months were fine. After this, a kenalog shot left a bump on the tip. My collumella also began to drop. An in office procedure to trim the collumella was performed in office in November 2022. It has come back again. What can i do?

Eric M. Joseph, MD · Answer

It is impossible to evaluate your condition with a single before and after photo, especially after so many surgeries. Your question would be best answered in-person, after an evaluation and examination. Hope this helps! Dr Joseph

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! A hanging columella often occurs from a lack of support at the caudal septum. A strong cartilage graft, rather than trimming more support, is the fix. This is best achieved via an open approach where the complete tip structure can be visualized. If you've had trouble with skin depressions from steroid injections, I would avoid them. Re-visit with your surgeon - if you're comfortable - to see what other options exist. Otherwise, further consultations may be best. Hope this helps!

Adolfo Sesto, MD · Answer

Hi. Maybe you do need another revision or triming of your collumella. Is not a difficult technique, is just to remove a soft triangle shape tissue in front of the septum and suture it pulling up the tip, at the same time.

What can I do for my dropping columella? (Photo)

Answers (3)

Recommended reading

Everything you need to know about Revision Rhinoplasty

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

What can I do for my dropping columella? (Photo)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

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