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Can hanging columella & excess scar tissue be improved without a major surgery (local anesthesia or steroid improvement)?(Photo)

OT1750Aug 10, 2014
I had a rhinoplasty/septoplasty in '02 and a revision in '07. Both were open technique. I am happy with the improvements on my nose but not with the resulting hanging columella and a lot of what appears to be hard cartilage/scar tissue in the septum. I really don't want to go for another major surgery now or have general anesthesia but want to know if there is a simple procedure that can improve the columella/remove some of the scar tissue. I am not looking for perfection- just improvement

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Dr. Evan Ransom, MD, FACS
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Dr. Evan Ransom, MD, FACS
Board Certified Facial Plastic Surgeon
4.8 | 191 Reviews
Answered on Aug 11, 2014
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Dr. Richard W. Fleming, MD (retired)
Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Aug 11, 2014
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Evan Ransom, MD, FACS

Thank you for the questions and your photos. Without seeing your pre-op photos and examining your nose in person, I can't say exactly what happened. However, based on other patients I have seen, it is possible that the modifications of the tip cartilage and septum are not even. In closed...

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J. Smythe Rich, MD

This has happened often when a surgeon first removes the hump and later rotates the tip upward. This creates a saddle deformity. The original thought of a dominate bridge was actually a downward projecting tip.To restore the bridge height your own cartledge is preferred. In an adult, growth of...

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Jeffrey M. Darrow, MD

You are not near a final result at 3 weeks after surgery.  Be patience and follow your doctors advice about taping and allow the tissues to settle and mature over several months.  If a small bump is still there in 9-12 months it can be dealt with by a small revision without any worry...

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Amy K Hsu, MD, FACS

Dear crystalangel~ Sometimes the septum can remain deviated after multiple surgeries. It depends what was done during the prior surgeries, how you healed, and how bad the deviation was. It’s possible that your surgeon is recommending an “extracorporeal” septoplasty, which is essen...

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David Shifrin, MD

To begin with we need to determine what exactly is bothering you about your nose. My guess is you dont like to new angle of your nose tip. I f this is your concern, an open rhinoplasty with cartilage graft stabilization of your tip after rotating it down would improve the appearance. Best

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