Can reducing the columella help with nostril asymmetry? (Photos)

Question

I had an nose intubation, when i was 4 years old. It left with with a scar and nostril’s asymmetry. I am nlooking to do a rhinoplasty. I would like to reduce/shorten the columella (in order to reduce impression of asymmetry in the nostrils) And remove the dorsal bump, in the same time. I would like to do a rhinoplasty without grafting. Is it possible to operate without any grafting ? Is it a “good plan” , to bring more symetry ? Thank you for your opinions,

Tanveer Janjua, MD · Answer

The nostril can be improved with a small cartilage graft. The graft can be obtained from the dorsal hump that will be removed. You will not need a rib or ear graft. 
Columellar reduction can also be done at the same time. 
Regards
Dr. Janjua

Gary M. Horndeski, MD · Answer

You have several problems with your nose.  The nasal bone and cartilage appears straight but the tip is overly projecting.  You have wide separation of the tip and you also have retraction of the left alar rim from the scar.  You will need a small cartilage graft to flatten the alar rim and you will need the decreased projection of the nasal tip by repositioning the medial crura.

Best Wishes,

Gary Horndeski, M.D.

Jeffrey H. Spiegel, MD · Answer

We can raise the columella and remove the dorsal hump easily. That can likely be done even in the office.
The question is, why resist grafting? Grafting will be helpful for the notching you have which can bring the ala down.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, tensioning of the tip, placement of extended alar contour grafts, among other maneuvers.  Graft placement is absolute critical or you will not have a good result.  With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Can reducing the columella help with nostril asymmetry? (Photos)

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Answer: Rhinoplasty

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Can reducing the columella help with nostril asymmetry? (Photos)

Answers (4)

Answer: Rhinoplasty

Answer: Rhinoplasty

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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.