I have a 1.5cm hole in my septum and have had two surgeries to fix it. The first was using cartilage from my ear to cover it but this did not take. In the second surgery a plastic septum button was put in the hole. This worked and has been there for 4 years now. My columella hangs very low so I would like this to be reduced. Will my septal perforation be a problem? I feel like it makes my nose less structurally sufficient - therefore might collapse when messed with.
August 21, 2017
Answer: Your nasal septal perforation may be related to your hanging columella, depending on the perforation's location. If your perforation is down by the bottom of your septum, near your nostrils, it may have caused loss if nasal tip support with an ensuing hanging columella, and possibly a droopy and underprojected nasal tip. Your candidacy for rhinoplasty would need to be made at a consultation with a rhinoplasty specialist, after an examination and determination of the reason your nasal septum developed a hole. Hope this helps. Dr Joseph
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August 21, 2017
Answer: Your nasal septal perforation may be related to your hanging columella, depending on the perforation's location. If your perforation is down by the bottom of your septum, near your nostrils, it may have caused loss if nasal tip support with an ensuing hanging columella, and possibly a droopy and underprojected nasal tip. Your candidacy for rhinoplasty would need to be made at a consultation with a rhinoplasty specialist, after an examination and determination of the reason your nasal septum developed a hole. Hope this helps. Dr Joseph
Helpful
August 21, 2017
Answer: Drooping columella Your nose will be a greater challenge secondary to the previous septal surgery and the persistent septal perforation. The location of the septal peroration will determine how hard or easy to correct the drooping columella. The narrower the cartilage bridge between the end of your septum and the perforation will determine if a columella strut will be needed. Then the reason for the failure of your first septal perforation correction comes into play as well as reason for the septal perforation in the first place. Find a very experienced rhinoplastic surgeon especially one with an ENT training as well.
Helpful
August 21, 2017
Answer: Drooping columella Your nose will be a greater challenge secondary to the previous septal surgery and the persistent septal perforation. The location of the septal peroration will determine how hard or easy to correct the drooping columella. The narrower the cartilage bridge between the end of your septum and the perforation will determine if a columella strut will be needed. Then the reason for the failure of your first septal perforation correction comes into play as well as reason for the septal perforation in the first place. Find a very experienced rhinoplastic surgeon especially one with an ENT training as well.
Helpful
