Retracted columella after car accident - how to fix it? (photos)

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a rhinoplasty and/or nasal reconstruction covered by insurance. A nasal tip reconstruction or a tip rhinoplasty can be performed to improve the nasal tip support and overall symmetry as mentioned in your question. The modification of your nasal cartilage can be done with trimming, stitching or grafting. If your septum is deviated as mentioned, and you have breathing difficulty, a septoplasty may benefit you as well. Your septal cartilage will likely be available for reconstruction (or rhinoplasty), but I would also be sure to have MTF (cadaver) cartilage on hand in case your septum is too deviated to harvest for cartilage graft support.

The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in men who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Hello,
Thank you for your question. It looks like you would benefit from a cartilage graft, which can be taken from your septum at the same time as your septoplasty. Both procedures would likely be covered by insurance and they can be done using the closed / scarless approach. The "lopsidedness" should be correctable as well.
Mark G. Albert, M.D., F.A.C.S.New York, NY and Boston, MA

It needs a multi step approach. First needs a cartilage graft and a few months later opening up of the incision and improving the incision line by better stitching.
It is not an easy task and has to be handled carefully with patience and time.
Regards
Dr. J