my columella looks pointy, it could be because of swelling? (photo)

Dear Doctors, I had a close rhinoplasty 3 weeks ago, I really like my profile now but when I see me from the front I look really weird, my columella looks pointy, could swelling be distorting that? my doctor added a graft for support in my columella. I know that is soon but I don't like how it look from the front or above, what can I do?

Doctor Answers 4

Rhinoplasty at 3 weeks

At 3 weeks you are still early in the healing process. Best to give it more time to heal and for the swelling to come down.


New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Columella Shape

Thank you for you question.  At this point, I would say that the shape of the columella is affected most by swelling.  Your will have swelling in the nasal tissues for quite some time, and can last anywhere from 6 months to one year.  In addition, you will have more definition of the columella because of the cartilage graft that was placed.  Be sure to discuss your concerns with your surgeon, and I think that this area will improve once all swelling has resolved.  I hope that this helps!-David Gilpin

David Gilpin, MD
Nashville Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

3 weeks post op, some advices:

Thank you very much for enquire. Swelling after a rhinoplasty depends of the surgery complexity. In this regard, the nasal swelling Post-op It can last from two weeks to two months. To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you. Kind regards,  Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 176 reviews

Rhinoplasty healing

Thank you for the question and photos.  Yes, the shape of the columella may be the result of swelling since you are still relatively early after your rhinoplasty procedure.  A columella graft may also be the source of the shape.  With time, swelling will subside and if that is the cause of the columella shape than it will improve with time as well.   If it does not, the cartilage graft may be the source and your plastic surgeon can discuss with you the options that you have in addressing that.All the best,Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 154 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.