Can a sunken in nasolabial angle be fixed? (Photo)

Question

It looks balanced when this angle is corrected at the same time as tip is projected if this angle is sunken in. the angle where the columella meets the skin at the top of lip. How can this angle be pushed forward away from the face when it is sunken in?

Richard W. Westreich, MD · Answer

When patients have a small anterior nasal spine or premaxilla, it can cause a shallow midface on profile and a sunken in Nasolabial Angle. Augmentation with Filler, Cartilage, or other Soft Tissue Filler Material (ie. alloderm) can help to plump the area and open up the nasolabial angle.

Clark Schierle, MD, PhD, FACS · Answer

This area can be augmented with an implant, filler, or a graft of your own tissue. A board certified rhinoplasty specialists should be able to help you.

Reza Momeni, MD, FACS · Answer

Columella angle to the lip can be fixed in several ways including cartilage grafts and tissue augmentation of the upper lip. It appears you had a consultation at the clinic so I wonder if the surgeon did go over the technicals aspects with you or not?

Michelle R. Yagoda, MD · Answer

Dear Kim1,I am impressed with the efforts you took to evaluate your situation!  Bravo!  The sunken in area can be augmented with filler (non-surgically) or with an implant (foreign material) or graft (material from your own body). You can even try the filler first, to see how it looks....and decide on surgery later.All the best,Dr. Michelle Yagoda

Steven Wallach, MD · Answer

This angle can be changed a bit with filler, or cartilage graft material. Best to be evaluated in person. Good luck.

Barry L. Eppley, MD, DMD · Answer

Given that you need/want nasal tip augmentation at the same time, cartilage grafting of the premaxillary region/anterior nasal spine/columella can be simutaneously done to build up the structures behind the nasolabial angle.

Kamran Efendioglu, MD · Answer

Hi,There are many options to solve the problem you mention here.I think you should not be worried with the details of the technique. As every surgeon has his/her own way to solve the problems. Sometimes during the surgery we may need solutions that are much different than we proposed preoperatively. That doesn't mean we should not utilise them.In your case septal extension grafts would do the job. But it's best to get examined by an experienced surgeon wether grafts harvested from nose, ears or ribs may be needed.My best

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Can a sunken in nasolabial angle be fixed? (Photo)

Answers (7)

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