I feel like my columella is too elongated after rhinoplasty - would removing or trimming my columella graft help? (photos)

Question

I had a rrhinoplasty a while ago, so all the swelling has subsided. I had a deviated septum surgery, and a columella strut graft. What concerns me is that I feel my columella is far too elongated now. In my opinion, it stretches and elevates out my nostrils in a really unnatural way. I feel like it also makes my nasal base too narrow, and doesn't flatter my wide facial features. Would removing/trimming my columella graft help to relieve some of "tension" of my nose?

Hong Ryul Jin, MD · Answer

I think your tip is overly stretched so that the nostril shape is not natural. Deprojection of your nose tip would help to regain normal shape of the tip. It will prorbably involve lowering the strut and readjusting the tip cartilage in a natural and original anatomical position. Thank you.

Eric M. Joseph, MD · Answer

Unfortunately, it is impossible to determine the feasibility of removing your columella strut graft-based on the limited photos that you submitted. The base view of your nose is the least important view. Please consider re-asking your question with frontal, oblique, and profile photos for a more comprehensive answer. Thank you. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a revision with nasal tip deprojection.  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

Ruslan Zhuravsky, DO · Answer

Hello The change you are describing is called deprojection. The way this can be accomplished depends on the way it was performed during the initial surgery. It may be as simple as making an incision inside your nose and moving the graft down, or it may require more extensive work. Be aware the changing any aspect of the nose in one direction, will change other aspects as well. In this case, deprojection will change the relative projection of the tip to the bridge. Make sure to review the changes that will occur before proceeding with surgery.

I feel like my columella is too elongated after rhinoplasty - would removing or trimming my columella graft help? (photos)

Answers (4)

Answer: Deprojection

Answer: Deprojection

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I feel like my columella is too elongated after rhinoplasty - would removing or trimming my columella graft help? (photos)

Answers (4)

Answer: Deprojection

Answer: Deprojection

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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.