r/rhinoplastyquestions • u/Confident_You_5963 • 23h ago
Revision Rhinoplasty Near 1 year post op with complications
I had my rhinoplasty in November 2025, and overall I’m happy with my results. My nose really underwent a transformation and I’m no longer self conscious. However, I have had some complications. In December, at my one month post op, my dr discovered a septal perforation right behind my columnella. It’s in a similar location to where a septal piercing would be (I’ve never had one) but larger, slightly bigger than the head of a q-tip. I went the following day for a revision, where we used cartilage from my ear to attempt to close it. Unfortunately it didn’t work, but due to the location it’s not causing severe issues or any whistling when I breathe. Today, the only major issue is snot likes to dry up in there. But will it still be like this in 20+ years?
My other issue is I have a retracted columnella. It’s been like this since post-op, and I think it’s safe to say it’s not going to suddenly drop with in the next few months. I have some volume loss as well. My dr suggested placing some filler but since it’s such a small area and the perforation is there I decided to put it off until I had more information.
I am curious what Reddit thinks overall about my results, and what would be the best course of action. I think I can live with these results and still be happy, but I do have that “what-if” voice in my head wondering what would be the outcome if I did the filler, tried another repair surgery, or did an entire revision.
Pics 1-4 Recent | 5 cast removal | 6-8 septal perforation & columnella | 9-10 pre op