Hi there, I had an open rhinoplasty(correction of all bony and cartliaginous elements) and septoplasty (deviated septum and turbinate reduction) done 4 months ago. My tip and columella look big. I was really happy when I saw my nose after the cast was taken off, but now I'm a bit worried. My columella looked ok first week after the surgery but now it appears to be hanging.I am really concerned about this and would appreciate if you could advise me on my concern.
Hanging Columella Swelling 4 Months After Open Rhinoplasty, Is This Likely to Change?
Doctor Answers 4
When an open rhinoplasty is done the incision is near the base of the columella> this effectively traps the normal lymph flow, the subsequent swelling will cause the hanging columella effect. Wait at least two more months and then judge.
Hanging columella after surgery
After 4 months I do not think that your columella is going to rise, sorry to say. The rest of your nose looks great so maybe it wasn't apparent at the time of the surgery, or maybe a suture broke. In any case if it remains like that a revision to lift it should be pretty easy. Just diiscuss it calmly at your next visit with your surgeon. He/she will want you to be happy and I suspect will help you. Be prepared to wait until 6-12 months after surgery before doing any further touch up. Often it is not a good idea to go back too soon as there is still too much healing and swellin to be acurate. Good luck.
Hanging columella after open rhinoplasty
Your columellar show can certainly change as healing continues. Healing takes longer in a open rhinoplasty and does not occur at the same speed through out the nose. Edema can certainly be the main issue for the present appearance. Be patient. Sometimes unexpected scar tissue prevents the natural shrinkage of different areas of the nose after open rhinoplasty but scar tissue can be easily corrected. Your surgeon will know when and if you might need a little touch up. Best wishes.
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