I Have a Long Nose with an Overprojected/droopy Tip with a Hanging Columella and a Big Dorsum Hump, Can I Fix All This?

I have many issues with my nose, i fear my surgeon will not address all these issues to his maximum potential due to the time and effort needed, are these procedures performed in once session? also with the combination of problems I've mentioned can i expect a big change in the length of my upper lip as it looks small.

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7 Doctor Answers | Asked by davidvilla

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Rhinoplasty to correct multiple concerns

It is possible to fix all of the above nose issues under a closed rhinoplasty operation. This surgery takes approximately an hour and a half under general anesthesia and is performed as an outpatient procedure. De-projection and rotation of the tip and bridge can be performed along with trimming back the hanging columella. In addition, you can also expect a big change in the length of the upper lip since the tip has been raised. A droopy tip is best addressed by releasing... more

Multiple Nasal Issues to be Done in One Setting

All of the nasal areas that you would like to modify can be performed in one setting. If you have fears that your surgeon will not address your concerns, then I would think really hard if I have made a mistake. Your surgeon should make you feel comfortable on many levels so that your experience and outcome can be maximized.

Multiple nasal issues

Certainly after rhinoplasty a hanging columella, droopy/overhanging tip, and dorsal hump can be treated at the same time.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Rhino expectations

If you fear anything with regard to your surgery in advance you need to slow down and make sure all of your issues are addressed. schedule another appointment with your surgeon. make sure you have the time to get all of your questions answered. fear should not be an emotion you have regarding your feelings about your surgeon. you should have nothing but confidence in him or her prior to proceeding. if you fear he/she doesnt understand you in advance it is... more

Meeting expectations in rhinoplasty surgery

All of the changes that you desire are frequently addressed at the time of a rhinoplasty. Each one requires specific changes especially the over projected nasal tip with the hanging columella. At our office we used the Vectra 3D imaging system. This is a tremendous educational tool allowing the patient to visualize the changes that can be accomplished. In this manner we try not to show a result that we do not think can be accomplished. The key to a satisfied... more

Multiple changes during rhinoplasty.

All of the changes you desire should be possible with a carefully planned surgery by an experienced surgeon. Mario J. Imola, MD, DDS, FRCSC.

Multiple Changes with Rhinoplasty Surgery

All of the changes you describe can effectively be made if your rhinoplasty is done by an experienced surgeon. I recommend that you get a second opinion from another physician if you feel that your surgeon will not take the time to get the best possible result.