Dermal fillers for retracted columella - is it safe? (Photo)

Hello and thank you for your question! Unfortunately, no non-surgical options can effectively address a retracted columella- fillers just don't have the structural strength to address this issue. The best solution is rhinoplasty, which can refine your nasal structure while preserving your natural features. Additionally, any time fillers are injected into the nose, there is ALWAYS a risk of BLINDNESS!

Your retracted columella is due to the underlying anatomy- specifically the cartilage. To achieve a more balanced facial profile, a rhinoplasty would selectively refine the tip, adjusting and securing the columella to a more appropriate position while maintaining harmony with the rest of your nose. This is actually a very common reasons patients seek rhinoplasty.

The specialized maneuvers required to address your specific issues need a high level of expertise and experience, which most surgeons simply do not have. In addition to reshaping your nose aesthetically, your septal cartilage (or an alternative graft material) would be used to create structural grafts, reinforcing key areas like the columella (the strip of tissue between your nostrils). This is crucial to maintaining long-term symmetry and preventing future distortions.

Rhinoplasty is one of the most technically demanding procedures in all of plastic surgery—millimeters make all the difference. If a surgeon is only performing one or two rhinoplasties per month, they simply do not have the level of experience necessary to achieve the best possible result. Your nose defines your entire face—this is NOT a surgery to leave in the hands of just anyone.

I have had extensive training in complex rhinoplasty, working under one of the highest-volume rhinoplasty surgeons in the world (who performs 1,000+ nose surgeries per year). If you’re serious about getting the best possible result, I’d be happy to see you for a consultation (Virtual or In-Person) where we can discuss your goals, perform a detailed examination, and create a customized plan for your ideal nose.

I look forward to helping you achieve the refined, balanced nose you deserve!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Hi @Original776113. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

We have had good success lowering retracted columellas with microdroplet Silikon-1000, a permanent filler. This may be considered for smoothing the appearance of a small profile bump, depending on your examination. Hope this helps! Dr Joseph