Can a Retracted Columella Get Worse After Rhinoplasty and Deviated Septum Repair?

I got hit with a cup when I was 16yrs old I am now 34 and going to have rhinoplasty and deviated septum repair to my nose. I have a retracted columella, is the columella going to retract worse or stay the same? I have heard that some rhinoplasties cause a retracted columella and since I already have one will it make it even more retracted?

Doctor Answers 4

Retracted Columella with Deviated Septal Repair

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When septal deviation involves the caudal septum, your surgeon must add support to this area.  When done correctly, the position of your columella can be preserved or even corrected.  I don't think this should discourage you from pursuing correction of your deviated septum.

Dallas Plastic Surgeon
5.0 out of 5 stars 22 reviews

Deviated septum and retracted columella

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 The deviated septum repair and rhinoplasty should not affect a retracted columella, unless your surgeon specifically performs a maneuver on the nose during the rhinoplasty to affect that retracted columella and make it worse. Cartilage grafting can  help  give the columella more fullness and treat the retraction.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Can a Retracted Columella Get Worse After Rhinoplasty and Deviated Septum Repair?

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Retraction of the columella is a very, very small risk. This can be prevented during surgery by placement of small cartilage grafts to support and position the columella. If you're operated on by an experienced rhinoplasty surgeon they will be well aware of how to prevent this complication. I hope this information is helpful.

Stephen Weber MD, FACS

Lone Tree Facial Plastic Surgeon

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Retracted Collumela

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There are risks with every surgical procedure. Rhinoplasty is one of the most challenging of cosmetic procedures and has its inherent risks. In experienced hands, the likelihood of a more retracted columella is low. A good cartilage strut graft should avoid this complication.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.