Will fixing an over rotated nose impact my columella? Wanting to keep a natural result.

Question

One of the issues I have with my nose is that it is slightly over rotated. I have a normal columnella at the moment. Will fixing the rotation impact my columnella. I do not wish to have a hanging columnnella. How do (specfic techniques) surgeons fix over-rotation while giving a natural result

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Fixing an over-rotated nose relies on strong cartilage and proper suturing technique. A caudal septal extension graft with base sutures allows for accurate fixation and proper setting of the angle. By anchoring the tip to this structure, drooping or over-rotation are avoided. The columella should not hang if attached properly. Hope this helps!

Onur Gilleard, MBBS, FRCS(Plast) · Answer

Hi , reducing the rotation shouldn’t cause columella show. It’s increasing rotation that can lead to columella hang if the caudal septum and ANS are not reduced. Rotation can be done using various techniques including COST and VAR combined with a septal extension graft

Will fixing an over rotated nose impact my columella? Wanting to keep a natural result.

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Will fixing an over rotated nose impact my columella? Wanting to keep a natural result.

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