2 Months Post-Op, Columella Looks Strange, Implant Shows When Smiling. Will This Improve?

I got my closed rhinoplasty done 2 months ago.The doctor used the implant.I have a very narrow philtrum,so the ending of the implant is now showing when i smile,also due to this my columella looks hanging columella and i look so bad smiling and it sometimes hurt too. i know feeling the strecth is normal but what about the ending of the implant at the columella?It almost hides my philtrum when i smile.Will this go away after months of healing of stitches and will my columella look norml

Doctor Answers 4

Columellar implant

I'm not a big fan of columellar implants whether they are cartilage or silicone. They often appear bulky and in your case is causing the columella to hang too much. This is a pretty simple fix at a secondary rhinoplasty. One of the key issues that needs to be addressed is whether the implant is exposed or is possibly at risk of eroding through its soft tissue coverage. If this is the case, it may need to be removed sooner.

San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Columella and appearance

I think that the columella graft or implant is either too large or not secured properly leaving a protrusion at the inferior aspect.  I do not think that it will improve with time, but it is too early to have a revision.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews


You should wiat a little longer but, it is unlikely that things will change. You will probably need to have the implant removed and or replaced.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Columella Looks Strange

The implant, is too large. Even when swelling subsides, this problem will not be improved. The implant needs to be made smaller or removed. Before pictures and material of the implant would be helpful.

Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 112 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.