Do I have a retracted columella? Picture all the way to the left is my original nose, middle rendering, and right nose after rhino. It looks like my columella has been chopped off. Can you please confirm is this is a retracted columella? Is this an easy fix? Can this be fixed with a closed rhinoplasty or does it have to be open? Also, if this is the only thing that has to be fixed, do i have to wait at least 6 months for the revision or can it be before?
Answer: Retracted Columella Correction Based on your pictures, this does appear to be a retracted columella. You're right, this can be fixed with the closed approach and is a much more minor procedure than the full open rhinoplasty. I would suggest that you're evaluated first either in person or through a virtual consultation. This can be corrected at 6-9 months after surgery.
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Answer: Retracted Columella Correction Based on your pictures, this does appear to be a retracted columella. You're right, this can be fixed with the closed approach and is a much more minor procedure than the full open rhinoplasty. I would suggest that you're evaluated first either in person or through a virtual consultation. This can be corrected at 6-9 months after surgery.
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Answer: Do you have a retracted columella? Do you have a retracted columella? Based on the picture you show you do indeed have a retracted columella. The surgical fix for this is not intricate and involves placement of a courtleage graft. Due to the presence of postoperative scar tissue it is wise to wait a minimum of 6 to 12 months before having this revision.
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Answer: Do you have a retracted columella? Do you have a retracted columella? Based on the picture you show you do indeed have a retracted columella. The surgical fix for this is not intricate and involves placement of a courtleage graft. Due to the presence of postoperative scar tissue it is wise to wait a minimum of 6 to 12 months before having this revision.
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May 14, 2022
Answer: Columellar Show Based on the photo you submitted, there is no columellar show on profile view at this time. Ideally you would have about 2-4mm of columellar show. This can be corrected with either a closed or open technique-- will likely require cartilage graft-- caudal septal extension graft or a columellar strut graft, which could likely be taken from your septum (if it has not previously been operated on). I am not sure how far you are post op, but you do want to wait for swelling to go down before re-operating on the nose, as the nose will continue to evolve as swelling dissipates.
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May 14, 2022
Answer: Columellar Show Based on the photo you submitted, there is no columellar show on profile view at this time. Ideally you would have about 2-4mm of columellar show. This can be corrected with either a closed or open technique-- will likely require cartilage graft-- caudal septal extension graft or a columellar strut graft, which could likely be taken from your septum (if it has not previously been operated on). I am not sure how far you are post op, but you do want to wait for swelling to go down before re-operating on the nose, as the nose will continue to evolve as swelling dissipates.
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May 13, 2022
Answer: Yes Without knowing exactly what was done during your rhinoplasty, it is difficult to tell you exactly why you have the columella shape that you do. The most common reason would be over resection of the anterior septum. However, there are other reasons (displaced strut grafts, instability at the junction with the nasal spine, septal necrosis, etc). This can generally be fixed with a closed technique and graft placement if it was an over resection. However, I would wait a full year before attempting further correction or you could run into problems. Some people heal faster and everything softens up faster, but a year is definitely safe. This way you can be at your final result and make sure there aren't other things you may want to have addressed at the same time.
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May 13, 2022
Answer: Yes Without knowing exactly what was done during your rhinoplasty, it is difficult to tell you exactly why you have the columella shape that you do. The most common reason would be over resection of the anterior septum. However, there are other reasons (displaced strut grafts, instability at the junction with the nasal spine, septal necrosis, etc). This can generally be fixed with a closed technique and graft placement if it was an over resection. However, I would wait a full year before attempting further correction or you could run into problems. Some people heal faster and everything softens up faster, but a year is definitely safe. This way you can be at your final result and make sure there aren't other things you may want to have addressed at the same time.
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May 13, 2022
Answer: Retracted columella? Hi and welcome to our forum!
Helpful 1 person found this helpful
May 13, 2022
Answer: Retracted columella? Hi and welcome to our forum!
Helpful 1 person found this helpful
