My columella is gone and I feel I look terrible. Will it loosen up over time? (photos)

Question

I received a septorhinoplasty through insurance to improve my breathing two weeks ago. Although we did not discuss this enormous change to my nose prior to surgery, the Dr. pulled in my columella to create tension to straighten the tip of my nose. First, it is SO tight it actually hurts me when I move my face, and second is I feel I look absolutely hideous. Will my tip and columella descend over time and will I look like me again? Will it loosen up over time? If not is this reversible?

Gerald Minniti, MD, FACS · Answer

Hello,Your columella will not descend, and you'll need a caudal extension graft, possibly from rib. Go visit  a few revision breast experts. If you are in SF, I recommend David Kim. Best of luck.

Suleyman Tas, MD, FEBOPRAS · Answer

Hello, thank you for your question and provided photos, ı understand your concerns.You are in your very early healing process with 2 weeks post-op, your issue can be addressed to edemas and swelling, they might cause a blockage inside, you need to follow up your PS and given instructions.Regards,

Fred J. Bressler, MD, FACS · Answer

Thanks for your thoughtful questions and posted photos. I am sorry that you are experiencing these concerns after nasal surgery. I share your concerns. The shortening of the septum, strut graft or tongue-in-groove techniques may have been involved with your original surgery, which resulted in your understandable concern now. The tightness and stiffness you are experiencing, and even facial pain,  is typical post op and will certainty improve over time. Whether or not this loosening effect will allow your columella to appear less flat remains unknown. Fortunately, this is a reversible problem, though it may require a revision surgery with septal extension grafts or similar techniques to restore a softer, curved columellar appearance. Share your concerns with your physician, or other trusted revision rhinoplasty specialists and discuss future plans if needed. It may be best to allow at least six months recovery before returning to OR for revision. Stay strong and research your best future options. Hope this answer helps you.

My columella is gone and I feel I look terrible. Will it loosen up over time? (photos)

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My columella is gone and I feel I look terrible. Will it loosen up over time? (photos)

Answers (3)

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Everything you need to know about Rhinoplasty

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