Notes describing a columella that appears retracted or barely visible are illustrated differently across profile and basal views. In one patient, the columella was scarcely visible from the profile view, and basal nostril photos noted an inward-curled columella alongside a depressed scar from a previous open rhinoplasty.
A retracted columella is also documented in primary rhinoplasty patients, meaning this issue cannot be attributed solely to previous surgery. The original notes frequently mention the nasolabial angle, an impression of a protruding mouth, tip drooping, and nostril asymmetry together. Review these cases by looking not only at columellar visibility, but also at its relationship with surrounding structures, surgical history, and findings identified during examination.
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A case where damage from previous surgeries led to collapse of the anterior septum and nostril asymmetry. The septum was reconstructed using autologous rib cartilage, followed by nasal tip rhinoplasty with donor rib cartilage and implant replacement.
Preoperative condition · Postoperative record
A case of staged nasal reconstruction for a nose damaged by recurrent implant inflammation. After foreign body removal, a 2-year resting period, and stem cell therapy, the structure was rebuilt using donor rib cartilage and an implant was inserted.
Preoperative condition · Postoperative record
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Preoperative condition · Postoperative record
Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.
Preoperative condition
To correct septal cartilage loss from 3 prior surgeries, a short nose appearance, and a bulbous tip, the septum was reconstructed using autologous rib cartilage and the radix was lowered.
Preoperative condition · Postoperative record
A blunt, pug-like nose, retracted columella, and wide nasal bridge were transformed into a slim, three-dimensional profile using autologous rib cartilage tip plasty, columellar lowering, lateral osteotomy, and cartilage reduction with suturing.
Preoperative condition · Postoperative record
In a male patient in his early 20s presenting with a crooked nose, dorsal hump, and nasal obstruction, osteotomy, tip rhinoplasty using donor rib cartilage and septal cartilage, and columellar correction were performed.
Preoperative condition · Postoperative record
In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.
Preoperative condition · Postoperative record
To improve the low, bulbous nasal tip and retracted columella in a patient with no previous surgical history, autologous rib cartilage was used to reinforce the septum, elevate the nasal bridge and nasal tip, and correct the nasolabial angle.
Preoperative condition · Postoperative record
An upturned nasal tip, a short columella, and an unnatural silicone bridge line from previous rhinoplasty were improved using autologous rib cartilage septal extension, custom-carved silicone implant replacement, and nasolabial angle correction.
Preoperative condition
Cartilage protruding through the nasal mucosa was removed and the area restored with perichondrium, damaged lower lateral cartilage and a drooping tip were reconstructed using autologous rib cartilage, and the implant was replaced with customized silicone.
Preoperative condition
In a patient with limited skin elasticity and mucosal adhesion following multiple nasal surgeries along with alar and philtrum reductions, we performed septal reconstruction with autologous rib cartilage, nasolabial angle correction, columellar extension, and nasal synechia adhesiolysis.
Preoperative condition
A case of skin thinning, cartilage show-through, and an upturned nose following contracted nose surgery. The skin was reinforced with dermis and autologous rib perichondrium, along with septal extension.
Previous surgeries and procedures
A case of nasal tip drooping, a pinched look, and tip spreading after nasal filler injection and silicone rhinoplasty 7 years ago. Foreign materials and the silicone implant were removed, and the nasolabial angle was corrected while reinforcing tip support.
Preoperative condition
Cartilage penetrating the mucosa and a septal perforation after multiple surgeries were corrected through total reconstruction with autologous rib cartilage and repair of the perforation using ear perichondrium.
Preoperative condition · Postoperative record
The septal L-strut, thinned after three previous surgeries, was reinforced with autologous rib cartilage, and the crooked nose was reconstructed through lateral osteotomies and columellar lengthening.
Preoperative condition
In a patient presenting with mucosal perforation and contracture deformity caused by implant infection, inflamed tissue was debrided and irrigated, followed by staged septal reconstruction.
Preoperative condition
A case resolving a persistent bulbous tip, excessive nostril show, and residual filler after previous surgeries by removing the filler and reconstructing the septum and alae using autologous rib cartilage.
Preoperative condition · Postoperative record
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No. There are cases where a retracted columella and an unfavorable nasolabial angle were noted in primary rhinoplasty patients. Conversely, other records describe an inward-curled appearance and a depressed columellar scar from previous open surgery. Even when the term retracted columella is used, one can distinguish between conditions present congenitally and those documented alongside a history of previous surgery.
One article separately details a columella that is barely visible on profile view, columellar retraction on oblique view, and an inward-curled columella on basal nostril views. Another case also records nostril asymmetry and depression around the alar base. Rather than comparing height from a single angle, read through the findings across the multiple views presented in the original notes.
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