My primary surgeon told me that he placed a strut graft it my columella to keep the tip up, however I never had a hanging columella and he pulled it back and tucked it in making my columella look retracted. I want my little pointy tip back. If I take out the strut graft, and add and extension graft, can my columella come down again? I don’t want a straight/flat columella either.
August 19, 2021
Answer: The nose is a 3-D structure. The tip and columella can be altered but involves a number of steps The goal of rhinoplasty (and revision rhinoplasty) is to get a balanced nose that you like and also one that can be surgically achieved. It is difficult to say exactly what surgical maneuvers would achieve your goals from these photos. You do mention some of the common techniques used in both primary and revision surgery. You should see an expert in revision rhinoplasty for a full examination where they can examine your nose inside and out and touch it to see what structure you have. Then a full discussion can be had about how to get a better nose.
Helpful
August 19, 2021
Answer: The nose is a 3-D structure. The tip and columella can be altered but involves a number of steps The goal of rhinoplasty (and revision rhinoplasty) is to get a balanced nose that you like and also one that can be surgically achieved. It is difficult to say exactly what surgical maneuvers would achieve your goals from these photos. You do mention some of the common techniques used in both primary and revision surgery. You should see an expert in revision rhinoplasty for a full examination where they can examine your nose inside and out and touch it to see what structure you have. Then a full discussion can be had about how to get a better nose.
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August 19, 2021
Answer: If you take a columellar strut out will the columella lower or hang? A columellar strut is extremely useful to maintain desired tip projection during healing process. A septal extension graft does as well. Removing a strut will likely result in loss of tip projection as causing bowling or hanging of the columella. A better approach to removing would be to adjust with changing position of graft or adding more graft. The healing process is active a d dynamic and extra support is required for predictable results.
Helpful 1 person found this helpful
August 19, 2021
Answer: If you take a columellar strut out will the columella lower or hang? A columellar strut is extremely useful to maintain desired tip projection during healing process. A septal extension graft does as well. Removing a strut will likely result in loss of tip projection as causing bowling or hanging of the columella. A better approach to removing would be to adjust with changing position of graft or adding more graft. The healing process is active a d dynamic and extra support is required for predictable results.
Helpful 1 person found this helpful
