Is my problem hanging columella or alar retraction? (Photos)

Question

I hate how much of the inside of my nose is in show. Its red and ugly!

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos you have hanging columella and your nostrils looking upward. For get rid of this image you may need alar base reduction. With the rhinoplasty surgery you may have your desire looking for your nose. If you can provide photos with better lighting, from the front of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best Regards!

Eric M. Joseph, MD · Answer

In general, alar retraction is a consequence of previous nasal surgery. You appear to have an exaggerated curvature of your columella that is causing too much nostril show. Repair of a hanging columella is something achievable with rhinoplasty surgery. Consider Consulting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what might be best for you moving forward. Hope this helps! Dr Joseph

Randal Haworth, MD, FACS · Answer

In my opinion, based on the pictures you provided, I think it is alar retraction.

Rhinoplasty is the primary culprit behind alar retraction, which necessitates surgical intervention. Alar retraction may result from the removal or excessive excision of tissue during surgery. Additionally, when the lower nasal cartilage is partially excised to achieve tip narrowing and rotation, it can cause some degree of alar retraction.

For mild to moderate alar retraction, the alar batten graft is an effective treatment option, whereas for a moderate to severe condition, lateral crural strut grafts and alar extension can be beneficial.

Robert Ciardullo, MD · Answer

Do you have a hanging columella or alar retraction? it appears from the photos you show that you have a slightly hanging columella. Elevation of the Columella is sometimes done during a routine rhinoplasty.

Is my problem hanging columella or alar retraction? (Photos)

Answers (4)

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