Can columella be lengthened, tip brought down & get droop back? (Photos)

Question

Will I ever get a nose like my before? Can I ever get a version of my old nose with straight profile?? I only wanted my hump removed but my doctor scooped out my bridge, retracted my columella, rotated tip upwards, and performed alarplasty. I'm very upset because this is nothing like I asked for. I just wanted a slight change not this. Can we lengthen my columella and bring down my tip? I want my infratip lobule back. Can I also get a bit of a droop back? I never told him I didn't like my tip. I also want my bridge to be straight.

Nima Shemirani, MD · Answer

Hi @unhappygirl22. I'm sorry you are not pleased with your results. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of luck,

Dr. Nima

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. While the issues you mentioned can be fixed with surgery, it is best to have a personal evaluation to determine your eligibility for revision rhinoplasty. Revision rhinoplasty is an even more complicated procedure than primary rhinoplasty and requires a skilled surgeon. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have unique skills and experience when it comes to the function and aesthetics of the nose that enables them to improve their patients’ nasal concerns. During your consultation, your surgeon will evaluate your nose, determine your eligibility for revision rhinoplasty, recommend the best approach, and ensure the best possible outcome.

Philip S. Schoenfeld, MD, FACS · Answer

You can absolutely get the nose that you were hoping to achieve with a revision rhinoplasty.  In short, you will need cartilage and for grafting.  I would suggest a dorsal onlay graft with diced cartilage wrapped in temporalis fascia and a septal extension graft to de rotate your tip, narrow your tip and create some columella show. Cartilage can come from septum, rib, or cadaver rib ( also a good choice)

H. Baki Yilmaz, MD - Account Suspended · Answer

Hi. Mr. I am Asc. Prof. Dr. H. Baki YILMAZ (ENT surgeon) from Istanbul, Turkey. You have many nasal problems and these are common and difficult to treat problems. Especially your columella and thick skin in this area and excessive resections in surgery are the main source of the problem. You should send a lot more photos for a better evaluation. get well soon

Can columella be lengthened, tip brought down & get droop back? (Photos)

Answers (4)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Can columella be lengthened, tip brought down & get droop back? (Photos)

Answers (4)

Answer: Revision rhinoplasty

Answer: Revision rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.