I would like to have my columella narrowed and its length reduced. How are incisions made to such a conspicuous area well concealed?
As you are probably aware, there are two types of approaches to rhinoplasty. One is an open approach and the other is closed. I use both approaches to perform rhinoplastic surgery. In someone who needs a great deal of tip work, revision rhinoplasty, or significant changes that need to be performed on reducing or increasing the length of the nose, I like to use the open approach technique. The incision is an inverted V incision made in the columella (the portion of your nose between your nostrils). The incisions heal very nicely when this is done. If your desire is to narrow the columella and decrease what sound like columella show, then a closed rhinoplasty may be performed in which case the incisions are all intranasal.
Posted by Dr. Philip Schoenfeld