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Richard E. Davis, MD

Arch Facial Plast Surg. 2005;7:124-134.

Surgical correction of the overgrown columella-labial junction remains a controversial and neglected aspect of cosmetic rhinoplasty. Failure to reduce an obtuse nasolabial angle resulting from overgrowth of the septum and/or nasal spine may adversely affect the otherwise satisfactory cosmetic result. I review the historical considerations regarding caudal overgrowth and discuss its relevance to contemporary rhinoplasty. Case studies are presented to illustrate surgical treatment options for various overgrowth deformities.

Author Affiliation: Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Miami School of Medicine, Miami, Fla.