Weird columella shape 18 months after open rhinoplasty (Photo)

Is there anything that can be done about the very wide columella base? I had an alar base reduction as part of my rhinoplasty which I think also contributes to the overall odd shape of the nostrils. However, I think the most unnatural piece is the thickened columella base & rapid tapering.

Doctor Answers 3

Weird columella shape 18 months after open rhinoplasty

It's important to understand what procedures were performed during your open rhinoplasty, in order to be able to make any revision surgical changes to that area of the nose.  It's best to obtain the old records your primary surgery.  A columella-plasty can certainly make improvements 

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 146 reviews


There are a number of potential things that can be done.The key issue is what you have had done to date and your present anatomy both of which will dictate the various options available.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Columella, revision rhinoplasty, scar

Nicolas, indeed there is some widening of the columella  and from the base view you provided it appears as though the incision across the columella is slightly stepped at the margin of the nostril.  This contributes to the distortion of this very subtle piece of soft tissue between the nostrils.  These irregularities and deformities can be improved with revision surgery and must be executed in the context of the remainder of the nose.the base of the columella also needs narrowing to create a more natural appearance to the nasal sill.

Edward Farrior, MD
Tampa Facial Plastic Surgeon
4.5 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.