My concern is too much nostril show after a recent rhinoplasty. I understand a columella lift is possible. By applying digital pressure I can see this will solve the nostril show, but will make the tip appear even more drooping (it already is, although it could be simply swelling). Will a lifting of the columella and trimming some of the cartilage in the area be a solution? How soon can this be performed? Would any grafts be indicated? How would you approach the problem? Thank you for your time.
Nostril Show After Rhinoplasty, How can this be Fixed? (photo)
Doctor Answers 5
Nostril Show After Rhinoplasty, How can this be Fixed?
Increased columellar show can easilly be corrected using a columellar tuck as an isolated procedure that does not require a Rhinoplasty. be sure your Rhinoplasty Surgeon understands and follows the proper aesthetics of facial (and nasal) beauty for the creation of a naturally, attractive nose.
Nostril Show after Rhinoplasty
You don't mention when your rhinoplasty was done, but after waiting 9-12 months the columella can be raised and the tip slightly rotated by removing septal cartilage immediately above the columella. I cannot tell from the picture submitted, but small cartilage grafts can easily be placed at the nostril rim if there is alar retraction.
In select patients, nostril margins may be lowered with a carefully-performed Injectable Filler procedures.
I read your concern and reviewed your photo:
You may be able to achieve a few millimeters of nostril lowering without undergoing a revision rhinoplasty. My experience with Silikon-1000, an off-label filler for permanent results, has been rewarding for reducing nostril show. I've attached a photo demonstrating permanent non-surgical nostril lowering.
I hope this helps you.
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Shape concerns post rhinoplasty
Alar retraction or Columellar Show
Do you not like that the rim is too high or that you see too much columella? Do you wish for the tip to be raised a bit, or the rim brought down. Both can be achieved though through different techniques.