Retracted columella (totally gone) 10 months post op. Can this be fixed without another revision surgery? (photos)

Question

My columella is straight after my revision rhinoplasty and I'm on month 10 now. Can this be fixed without getting another revision surgery? I look like Michael Jackson

Thomas A. Mustoe, MD, FACS · Answer

More cartilage must be added , but an auticukar cartilage graft could be added without a major revision with an incision just At the columella, and coukd be done as an office procedure under local anesthesia and an oral sedative.

Philip S. Schoenfeld, MD, FACS · Answer

Your nose looks pretty good.  If you were to perform aesthetic measurements on the amount of columella show you now have I think you would find that you fall into the norm.  I would strongly suggest leaving your nose alone.

Tanveer Janjua, MD · Answer

Yes, In a minor office procedure some of the excess tissue can be removed from the base of the columella at the level of the nasolabial angle (where the columella meets the upper lip). That will reduce the columella to more appropriate location and angle. 
Best
Dr J

Eric M. Joseph, MD · Answer

And you certainly do not resemble Michael Jackson! Based on your photos, you appear to have thin nasal skin and a somewhat over projected nasal tip appearance on profile. Here to have a pleasing nasal tip appearance on front view without stigmata of Rhinoplasty surgery. Since it's not clear what needs to be "fixed", please consider reviewing your concerns with your surgeon or consider procuring a copy of your operative report and Consulting with another reputable rhinoplasty specialist. Wishing you well moving forward! Sincerely, Dr Joseph

Retracted columella (totally gone) 10 months post op. Can this be fixed without another revision surgery? (photos)

Answers (4)

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