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Hanging Columella
A hanging columella refers to an excessive protrusion or downward displacement of the tissue that separates the nostrils (columella) below the nose. This condition can create an unbalanced or disproportionate appearance of the nasal tip. A nose with a hanging columella shows more than 4 mm of the nostril.
Some individuals naturally have a columella that protrudes more prominently than others due to genetic factors. In some cases, previous rhinoplasty procedures may inadvertently result in a hanging columella if the surgical techniques used did not adequately support or adjust the position of the columella. In other cases, nasal trauma or injury can cause changes in the underlying nasal structures, leading to a hanging columella.
Fix-It
Columella Retraction Surgery
Columella Retraction Surgery involves trimming or adjusting the excess tissue of the columella to reduce its prominence and achieve a more balanced nasal tip.
Septoplasty / Rhinoplasty
Depending on the underlying cause and extent of the hanging columella, a comprehensive septorhinoplasty procedure may be recommended. This can include techniques such as trimming the septal cartilage, repositioning the nasal tip, or adding structural support through cartilage grafts.
Tip Elevation
Tip Elevation can sometimes indirectly improve the appearance of a hanging columella by changing the overall nasal projection and balance.
Columellar Strut Grafts
Columellar Strut Grafts, lateral crural strut grafts or septal extension grafts may be used to provide additional support and stability to the nasal tip, helping to correct a hanging columella.
Revision Surgery
In cases where a hanging columella persists or worsens after previous rhinoplasty, revision surgery may be necessary to address the underlying structural issues and achieve desired aesthetic results.
