My nose was also left overly projected and nothing was done with the tip- can decreasing the projection and tip work improve the appearance of the retraction? or would a graft be needed?
April 9, 2021
Answer: Retracted columella not the real problem Judging from the photos, it appears that your nose is slightly prominent both with respect to the dorsum as well as the tip. Also, the tip droops or is under-rotated, which gives the illusion that your columella is retracted. Finally, the base of the columella, as well as the tip, is deviated slightly to the right side indicating a minor dislocation of the base of your septum.The good news is that repositioning the caudal septum combined with de-projection and slight rotation of the tip will significantly improve the appearance of your nose. The dorsum will likely require a minor reduction as well to allow better aesthetic balance between the bridge and tip. It should be noted that these changes require advanced techniques that should only be trusted to an experienced facial plastic surgeon who performs revision rhinoplasty on a frequent basis.
Helpful 1 person found this helpful
April 9, 2021
Answer: Retracted columella not the real problem Judging from the photos, it appears that your nose is slightly prominent both with respect to the dorsum as well as the tip. Also, the tip droops or is under-rotated, which gives the illusion that your columella is retracted. Finally, the base of the columella, as well as the tip, is deviated slightly to the right side indicating a minor dislocation of the base of your septum.The good news is that repositioning the caudal septum combined with de-projection and slight rotation of the tip will significantly improve the appearance of your nose. The dorsum will likely require a minor reduction as well to allow better aesthetic balance between the bridge and tip. It should be noted that these changes require advanced techniques that should only be trusted to an experienced facial plastic surgeon who performs revision rhinoplasty on a frequent basis.
Helpful 1 person found this helpful
February 9, 2016
Answer: What is the best way to improve a retracted columella? This would be a revision surgery. Hi, I have performed and taught Rhinoplasty for over 30 years. From the photos, your nasal tip is over projected and under rotated. The under rotated nasal tip is responsible for hiding the columella that should have from 3 to 5 mm's of show on a profile view. The tip is also a bit wide. In this scenario, an Open Revision Tip-plasty would be able to thin the tip, decrease the projection and create the appropriate amount of upward tip rotation.Hope this helps.
Helpful
February 9, 2016
Answer: What is the best way to improve a retracted columella? This would be a revision surgery. Hi, I have performed and taught Rhinoplasty for over 30 years. From the photos, your nasal tip is over projected and under rotated. The under rotated nasal tip is responsible for hiding the columella that should have from 3 to 5 mm's of show on a profile view. The tip is also a bit wide. In this scenario, an Open Revision Tip-plasty would be able to thin the tip, decrease the projection and create the appropriate amount of upward tip rotation.Hope this helps.
Helpful
