Is there a nonsurgical option for asymmetrical columella? (Photo)

Micro droplet Silikon 1000 injections maybe utilized to carefully lower 1 foot plate of the columella to be more symmetrical with the other. I hope this helps. Sincerely, Dr. Joseph

Addressing asymmetrical columella following a rhinoplasty can be approached through several nonsurgical and minimally invasive options. Here are a few potential interventions:

1. Dermal Fillers
Long-term Fillers:
- Hyaluronic Acid Fillers: These are temporary (lasting 6-18 months) but can provide a good initial approach to assess if filler correction is suitable for you.
- Calcium Hydroxylapatite (Radiesse): This is a longer-lasting option (up to a year or more), and can provide more structural support.
- Poly-L-lactic Acid (Sculptra): This stimulates collagen production and can have effects lasting up to 2 years.

Safety Considerations:
- Infection risk is low but present. Ensure the procedure is done by an experienced professional.
- Possible complications include asymmetry, lumpiness, or migration of the filler.

2. Renuva
Renuva is an injectable treatment that uses adipose matrix to encourage your body to produce its own fat. This can create a more natural-looking correction.

Safety and Efficacy:
- Renuva has shown promising results for volume loss and asymmetry.
- Infection risk is minimal if performed under sterile conditions.
- Results can be long-lasting, but multiple sessions might be needed for optimal results.

3. Tissue Grafts
A small tissue graft can be placed to correct asymmetry. This can be done using:
- Autologous Cartilage Grafts: Cartilage from your own body (e.g., ear or rib) can be used.
- Alloplastic Implants: Synthetic materials can also be used, though they carry a slightly higher risk of infection and rejection.

Visibility and Integration:
- The graft should be carefully shaped and placed to ensure it is not visible through the skin.
- Proper placement and camouflage techniques are crucial, usually done by an experienced plastic surgeon.

Steps to Take:
1. Consultation: Schedule a consultation with a board-certified plastic surgeon or dermatologist who specializes in facial aesthetics.
2. Assessment: The specialist will assess your nasal anatomy, skin thickness, and overall health to recommend the best approach.
3. Procedure Plan: Based on the consultation, a tailored plan will be created, which may include one or a combination of the above methods.
4. Follow-up: Regular follow-ups to monitor the results and address any complications promptly.

Yes, there are nonsurgical options such as fillers and Renuva, as well as minimally invasive options like small tissue grafts, to correct asymmetrical columella. Ensuring the procedure is done by an experienced specialist can minimize risks and improve outcomes. Always discuss potential risks and benefits with your healthcare provider to choose the best treatment for your specific needs.