Can my loose columellar skin be fixed?
RealSelf actual patient comment:
I have a good bit of excess caudal septal cartilage at the base of my nose. This forces my philtrum to protrude and creates a very obtuse nasolabial angle. If this is corrected, how can the skin be addressed? Will it be sutured up and back into place? I’m afraid that skin will remain loose and hang. I have no interest in changing my whole nose, just the columellar area and lip where it protrudes.
A.Excellent question. Fortunately in rhinoplasty when the nose is reduced, the skin always contracts down to “fit.” In your case, your nasal spine at the base of your nose as well as some of your caudal nasal septal cartilage can be removed to decrease the obtuse lip-nose angle to a more masculine angle of about 90 degrees.
As with any aesthetic treatment it is essential to choose your treating physician carefully based on their experience, skill, knowledge, care, and most importantly their natural artistic vision. A few excellent rhinoplasty surgeons I would recommend are Sam Lam, MD (Plano, TX), Rod Rohrich, MD (Dallas), and Ari Hyman, MD (Encino, CA).Good luck and be well.
