Columella scar indentation

December 7, 2009 · Posted in Primary rhinoplasty, Revision rhinoplasty · 2 Comments 

I am 1 year post op from my 5th rhinoplasty. Finally I am satisfied with the shape, size and fit to my face. I do not want further surgery.

I have one problem. I have an indented scar on my columella from the open incision (I had open rhino 4 times).

What types of treatments are available to fill in my indentation? The columella scar is slightly darker than my skin tone and the indentation is noticeable even when I wear concealer.

I’ve been reading that fillers, microdermabrasion and laser therapy are some available treatments.

Suggestions are greatly appreciated!!!!!!

External valve collapse and hanging columella

July 5, 2009 · Posted in Revision rhinoplasty · 8 Comments 

I’m hoping someone who has dealt with these issues, or had any luck in researching can help me.

I’m a surfer, snowboarder, mtn biker — and the collapsed valve issue is starting to drive me wild. I’ve never had great breathing, but now it’s gotten significantly worse. Talking to the general public isn’t much help, they all think you breathe through your mouth all the time. However, A) It’s not healthy to do that and B) most people use a combo of mouth and nose. My nose works at about 30% on a good day. I have noticed it’s much worse since my last surgery. I believe a big part of the issue to be that my surgeon probably removed too much cartilage in the lower 1/3. My passages always feel tight, and narrow. The hanging columella also bothers me. It wasn’t right from the gate — and I think the cartilage was mishapen when it went in.

Please let me know if anyone has sim issues, and what kind of luck you’ve had in reasearching or talking to surgeons about how to fix these? I’d just like to get my breathing back and move on!

I had a septoplasty in 2003, where they attempted to fix my deviated septum, and did a small rasp on the nasal hump I had. I broke my nose as a kid, and probably got hit in the face quite a few times after that with soccer balls, kickballs, you name it ;) Anyways, the septoplasty failed to correct the deviation — and the surgeon took too much on one side, collapsing my nose, which led to a saddle deformity/mid-vault collapse scenario. Had it fixed again in 2007. A lot of the cosmetic issues were fixed, although new ones were created. But, the biggest issue — is the breathing. I feel the surgeon removed too much cartilage and made the nose too small! I have spreader grafts in already, and they’re not doing the trick. May need to have a batten graft in the right side to help with the external valve. Any suggestions or info appreciated!

P.s. Old nose is the boxer nose. New nose is straighter, smoother. Still a few bumps, which I don’t mind. I just want the collapse and hanging columella fixed. I like the quirks of non-perfect noses and have come to appreciate this full circle.

gretchen with bump old.jpg (26 KB)

external valve collapse.jpg (19 KB)

new nose.jpg (18 KB)

bumpy nose.jpg (12 KB)

hanging_columella_new.jpg (23 KB)