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What does a columella have to do with the nostrils during rhinoplasty?

The columella is the structural cartilage that defines the base of the nose in between the two nostrils.  As a structural support it enhances the nasal tip at the base and provides an extension of the lowermost septum of the nose.  During rhinoplasty the position of the columella is important relative to the nostrils.  If the columella lies too low or if the nostril rim is too high, the nostrils will appear open and exposure.  This leads to question of whether the patient has nostril retraction or a hanging columella.  The proportion of the columella to the nostril rim is an important one and is meticulously maintained during a rhinoplasty.  Dr. Raffy Karamanoukian is a double board certified plastic surgeon and an expert in rhinoplasty and revision rhinoplasty surgery. 


During your initial consultation for rhinoplasty Dr. Karamanoukian will evaluate your nose and determine whether you are a good candidate for a nose job.  The procedure performed in our Los Angeles plastic surgery office includes rhinoplasty, septoplasty, or septorhinoplasty.  Dr. Karamanoukian also has added expertise in revision rhinoplasty and secondary rhinoplasty revision in Los Angeles.  If you have problems with a hanging columella or for a retracted nostril that are overexposed, Dr. Karamanoukian will evaluate these in the preoperative and operative setting in order to determine the best course of action to rebalance the lower part of the nose.  If you have questions about rhinoplasty surgery in Los Angeles, please call our plastic surgery coordinator at 310-998-5533 to schedule a comprehensive consultation for surgery.

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