Closed or open rhinoplasty? How can I fix my columella? (Photo)

Thank you for your question and for providing photos. Through either selection, a rhinoplasty procedure can address the hanging columella, narrow the tip, and create a nasal structure that is harmonious with the rest of your facial features. During closed rhinoplasty, an external incision is made at the base of the nose across the columella and, in most cases, is nearly invisible once it heals. Whether electing for open or closed rhinoplasty, please keep in mind that it is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to conduct a thorough physical examination and determine the type of procedure that is right for you.

Hello! Thank you for your question.As far as I can see from your photos you have hanging columella and your surgeon cannot fix it with close technique. You may need open rhinoplasty for your wishes. It would be more convenient to decide with face-to-face consultation. Best Regards!

Hi @37Bet37. Thank you for sending your photos. A bulbous tip and hanging columella are very common concerns and can be addressed with a rhinoplasty. I recommend seeing an expert rhinoplasty specialist for in person examination. A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!