Would a revision help nose tip, as it seems a little full & columella hangs? (Photos)

Question

Hi. I had rhinoplasty done a year and 4 months ago. I don't feel completely satisfied with the tip. It seems to be a little full and the columella hangs down a lot when i smile. On my last appointment at my year check up thr Dr. Said he thought it would go down more and didnt think a steroid injection would be needed. Please advise if a revision would help. Thank you

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photos you provided it looks like you have hanging columella. If this disturbs you too much, you can get a revision rhinoplasty this can be corrected (you may need rib cartilage reconstruction depending on what has been done on your previous surgery).Best regards!

Eric M. Joseph, MD · Answer

That said, I can see your concerns about a hanging columella. In our experience, the only way to repair a hanging columella is with additional nasal surgery. Whether or not you wish to undergo another nasal surgery is between you and your prospective surgeon. Hope this helps! Dr Joseph

Darryl J. Blinski, MD · Answer

Based on the nicely posted photos I agree a revision of the columella area would greatly improve the appearances. This can be done under local anesthesia with IV sedation. Fee $4,000. Best to virtual consult with....

William Portuese, MD · Answer

The fullness in your nasal tip can be improved with steroid shots when there's thick skin and scar tissue present. The hanging columella must be surgically improved the remove redundant skin and cartilage in that area.

Would a revision help nose tip, as it seems a little full & columella hangs? (Photos)

Answers (4)

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