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My Four Months Baby Has A Very Short Columella. Will

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Posted on Fri, 4 Oct 2019
Question: My four months baby has a very short columella. Will it grow and become less short?
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Follow up: Dr. Sumanth Amperayani (0 minute later)
My four months baby has a very short columella. Will it grow and become less short?
doctor
Answered by Dr. Sumanth Amperayani (51 minutes later)
Brief Answer:
No major abnormality

Detailed Answer:
Hello... I understand your concern there is no major abnormality here do not worry.
Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
No major abnormality

Detailed Answer:
Hello... I understand your concern there is no major abnormality here do not worry.
Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sumanth Amperayani (6 hours later)
sorry for insisting but i'm a little anxious.
do you really think it's not short? when I see other babies' noses, I think my son's is so different.
I am not discrediting your assessment. Please do not misunderstand me. I would love if you could tell me a little more about your experience with similar cases.
Do you think it will have a good ratio between the columella and the other structures of the nose? I ask that, because I currently find his columella disproportionate. So I wonder if the nose structures grow at the same rate, so the columella will remain short.
I know that columella will not impair the functions of the nose. My question is about the shape of the nose itself.
I hope you understand my concerns.
Thanks for your patience.
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Follow up: Dr. Sumanth Amperayani (0 minute later)
sorry for insisting but i'm a little anxious.
do you really think it's not short? when I see other babies' noses, I think my son's is so different.
I am not discrediting your assessment. Please do not misunderstand me. I would love if you could tell me a little more about your experience with similar cases.
Do you think it will have a good ratio between the columella and the other structures of the nose? I ask that, because I currently find his columella disproportionate. So I wonder if the nose structures grow at the same rate, so the columella will remain short.
I know that columella will not impair the functions of the nose. My question is about the shape of the nose itself.
I hope you understand my concerns.
Thanks for your patience.
doctor
Answered by Dr. Sumanth Amperayani (28 hours later)
Brief Answer:
Suggestions on the shape of nose and columella

Detailed Answer:
Hello... I understand your concern.
From the images you may feel that it is a hanging columella.
But sach an assumption on the nose is too premature because the facial bones keep growing till 12 to 14 years of age and with the facial bones even the facial structure and other appendages like this keep on changing their shape.
We all know that columella is not going to hinder in the health in any way.
So even if there is a minor abnormality (which is not there in your case) I do not think anything else is required at this age and juncture.
So I suggest that you can be rest assured and leave alone at this stage.
I have seen a lots of cases like this and when the facial bones and the natural bridge grows everything gets adjusted and the nose will be perfectly normal including the columella.
Hope this helps!

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Suggestions on the shape of nose and columella

Detailed Answer:
Hello... I understand your concern.
From the images you may feel that it is a hanging columella.
But sach an assumption on the nose is too premature because the facial bones keep growing till 12 to 14 years of age and with the facial bones even the facial structure and other appendages like this keep on changing their shape.
We all know that columella is not going to hinder in the health in any way.
So even if there is a minor abnormality (which is not there in your case) I do not think anything else is required at this age and juncture.
So I suggest that you can be rest assured and leave alone at this stage.
I have seen a lots of cases like this and when the facial bones and the natural bridge grows everything gets adjusted and the nose will be perfectly normal including the columella.
Hope this helps!

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sumanth Amperayani (15 hours later)
Thank you.
I would like to ask one more question.
And about the retraction? Do you also think that his columella is retracted?
Have you ever seen retracted columella in babies? Does it become less retracted?
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Follow up: Dr. Sumanth Amperayani (0 minute later)
Thank you.
I would like to ask one more question.
And about the retraction? Do you also think that his columella is retracted?
Have you ever seen retracted columella in babies? Does it become less retracted?
doctor
Answered by Dr. Sumanth Amperayani (14 minutes later)
Brief Answer:
Actually it is just an upper limit of normal

Detailed Answer:
The columella is just in the upper limit of normal of general population range, please.
This doesn't look like a retracted columella.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Actually it is just an upper limit of normal

Detailed Answer:
The columella is just in the upper limit of normal of general population range, please.
This doesn't look like a retracted columella.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Sumanth Amperayani (26 hours later)
Thank you very much for your patience.
Sorry for so many messages. I will try to explain why I am so anxious.

I read a publication about effects of prenatal alcohol exposure in JAMA called : “Association Between Prenatal Alcohol Exposure and Craniofacial Shape of Children at 12 Months of Age” And this study shows that: “Results indicate a mild midfacial recession suggestive of subclinical hypoplasia and an upturning of the nasal tip in those exposed to alcohol prenatally. This phenotype was evident even when drinking was at a low level and mothers ceased alcohol consumption in the first trimester.” “Our study has examined the association of low levels of PAE using a more rigorous assessment of both face shape and alcohol consumption. We show that certain aspects of the phenotype (upturning of the nasal tip and midfacial hypoplasia) can be detected even when the maximum number of standard drinks (10 g of AA) did not exceed 7 per week and 2 per occasion. We did not observe the classic diagnostic features for FAS of smooth philtrum, reduced palpebral fissure length, and thin vermillion of the upper lip; it is likely that these features emerge only at higher levels of exposure.”

I also read that facial features can occur only if mother drink during the period of gastrulation.
And I drunk three sips of wine once probably in this period (before I knew I was pregnant). And now my son has a variation exactly in the same structure that is mentioned in the article for light drinking.
So I am in doubt if this variation was caused by alcohol. I know he doesn’t have the sentinels features, but this study refers subtle features with light drinking.
I know I have been boring you and I am really sorry. I am not this kind of person, but I am trying to understand this.


P.S. 1- when I look his profile (side view) I can’t see his columella. I can see only the alar margin. It also seems to be bent (is this also normal?) 2-Is it possible to see this in the pictures? (I don’t know if I sent good pictures.)
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Follow up: Dr. Sumanth Amperayani (0 minute later)
Thank you very much for your patience.
Sorry for so many messages. I will try to explain why I am so anxious.

I read a publication about effects of prenatal alcohol exposure in JAMA called : “Association Between Prenatal Alcohol Exposure and Craniofacial Shape of Children at 12 Months of Age” And this study shows that: “Results indicate a mild midfacial recession suggestive of subclinical hypoplasia and an upturning of the nasal tip in those exposed to alcohol prenatally. This phenotype was evident even when drinking was at a low level and mothers ceased alcohol consumption in the first trimester.” “Our study has examined the association of low levels of PAE using a more rigorous assessment of both face shape and alcohol consumption. We show that certain aspects of the phenotype (upturning of the nasal tip and midfacial hypoplasia) can be detected even when the maximum number of standard drinks (10 g of AA) did not exceed 7 per week and 2 per occasion. We did not observe the classic diagnostic features for FAS of smooth philtrum, reduced palpebral fissure length, and thin vermillion of the upper lip; it is likely that these features emerge only at higher levels of exposure.”

I also read that facial features can occur only if mother drink during the period of gastrulation.
And I drunk three sips of wine once probably in this period (before I knew I was pregnant). And now my son has a variation exactly in the same structure that is mentioned in the article for light drinking.
So I am in doubt if this variation was caused by alcohol. I know he doesn’t have the sentinels features, but this study refers subtle features with light drinking.
I know I have been boring you and I am really sorry. I am not this kind of person, but I am trying to understand this.


P.S. 1- when I look his profile (side view) I can’t see his columella. I can see only the alar margin. It also seems to be bent (is this also normal?) 2-Is it possible to see this in the pictures? (I don’t know if I sent good pictures.)
doctor
Answered by Dr. Sumanth Amperayani (12 hours later)
Brief Answer:
Three glasses of wine does not amount to alcohol consumption

Detailed Answer:
Hello...thank you for the follow up question but I would like to reassure you and I am glad to reassure you that three glasses of wine does not tantamount to do alcohol consumption (even mild).

Please be rest assured that this is not because of that.

If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.
Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.
In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Sumanth Amperayani (0 minute later)
Brief Answer:
Three glasses of wine does not amount to alcohol consumption

Detailed Answer:
Hello...thank you for the follow up question but I would like to reassure you and I am glad to reassure you that three glasses of wine does not tantamount to do alcohol consumption (even mild).

Please be rest assured that this is not because of that.

If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.
Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.
In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

Best regards - Dr Sumanth Amperayani
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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My Four Months Baby Has A Very Short Columella. Will

My four months baby has a very short columella. Will it grow and become less short?