I have read septum or rib should be used, but what if septum or a rib is not available for use? 1) What else can be used? 2) Can this be done closed rhinoplasty revision? 3) Why does retraction occur in the first place? 4) The bottom of my nose is very flat. I am missing middle part of my nose from front view & tip from side view. Is that because of retracted columella or something else?
April 18, 2022
Answer: Retruded Columella It appears from the photos that you have a slightly retruded columella. I'm not sure whether your columella was slightly retruded even before surgery or whether you had significant retraction of the columella after your surgery. A retruded columella can usually be addressed with grafts on the columella to help "volumize" this area. However, I have found that it does not provide complete resolution, but tends to improve the retruded columella enough.
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April 18, 2022
Answer: Retruded Columella It appears from the photos that you have a slightly retruded columella. I'm not sure whether your columella was slightly retruded even before surgery or whether you had significant retraction of the columella after your surgery. A retruded columella can usually be addressed with grafts on the columella to help "volumize" this area. However, I have found that it does not provide complete resolution, but tends to improve the retruded columella enough.
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June 15, 2022
Answer: Fixing a retracted Columella : Fixing a retracted Columella: from the pictures you show, you do appear to have a retracted columella. The treatment for this would generally involve a cartilage graft. if rib and septal Cartlidge has already been used up sometimes Cartlidge taken from the ear is used. Cadaver Cartlidge could also be used. The procedure can be done open or closed.
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June 15, 2022
Answer: Fixing a retracted Columella : Fixing a retracted Columella: from the pictures you show, you do appear to have a retracted columella. The treatment for this would generally involve a cartilage graft. if rib and septal Cartlidge has already been used up sometimes Cartlidge taken from the ear is used. Cadaver Cartlidge could also be used. The procedure can be done open or closed.
Helpful 1 person found this helpful