Rhinoplasty: Q&A

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Is It Possible to Get This Rhinoplasty Result ? (Before & After Picture)

Im 23 and my main problem is the hanging columella that shows too much of my nostrils, makes my nose go down, it's also too close from my upper lip. 1)It it possible to get close to the result like show below ? 2)Is it possible to lift - SLIGHTLY - the upper lip by raising the columella? When I put my finger on my columella and that I raise it, it makes my upper lip raise too, does it work the same ? Im scared that after rhinoplasty, there will be too much space btw my lip and nose. THANKS !

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17 Doctor Answers | Asked by Luna from nowhere

Doctor Answers (17)
Community Comments (0)

Your image seems achievable and esthetically appropriate

Based on your preoperative photo, your imaging seems well within the realm of surgical possibility. Further, what you have drawn seems esthetically appropriate for your face. Drawing on a computer is easy- executing the same level of control in a rhinoplasty is more challenging. Seek out an experienced rhinoplasty surgeon to maximize your chance of an excellent outcome.

Matching Photos for a Rhinoplasty Result

When looking at these photos, yes, it is possible to come close to achieving those results, though not exactly because your nose is uniquely yours and not recreated with imaging software. However, using photos like this can be useful for determining your goals and for communication with the surgeon. I would suggest on a nose like yours, removing the small bump on the bridge, narrowing the boney portion of the nose slightly, elevating the columella, and rotating the tip upwards with a... more

Is This Rhinoplasty Result Possible with columella and hump correction?

My philosophy is that computer imaging is for discussion only. You can achieve the results that you want, and there's no substitute for a consultation and proper preoperative analysis/examination. Make sure you visit with a surgeon who's versed in rhinoplasty and ask for b/a pictures of patients with your type of nose. You need a finesse rhinoplasty and not your typical "nosejob". Ramtin Kassir, NY, NJ Facial Plastic Surgeon more

Rhinoplasty imaging / upper lip changes

Hi Luna lima. It is certainly possible to achieve the result shown in the photo. Prudent use of imaging photos can facilitate communication between you and your surgeon. However, you should realize that because that result is possible does not guarantee it. Your final appearance will depend upon the skill of the surgeon. Regarding your second question - Your concern about "too much space" between your lip and nose postoperatively is insightful. The white lip (the space... more

James M. Pearson, MD

22 reviews

Los Angeles Facial Plastic Surgeon

www.PearsonMD.com

Hanging columella, retracted ala and hump rhinoplasty

The relationship of your columella and lip can be adjusted in addition to improving your profile and alar retraction. There are a few approaches to the hanging columella. I prefer using a tongue-in-groove setback technique to treat this. It provides excellent long term support for your nose. Another approach involves removing some of the septum in the area. Elevating your columella in general will tend to lengthen your upper lip somewhat, though this is adjustable. The dorsal bump is... more

Columella control

We can lift your columela by 1- Shortening the septum and the force it places on the columlla - easy! 2-Trim the cartilage of the lower lateral cartilage that you can feel poking through the skin on the columella, better to change the shape of the columella, not so much for overall columella retraction - easy! 3-Reduce the Anterior nasal spine - this is the bone at the base of the columella, reduction of this bone will let the lip hang better - not so tented up and create more... more

Is It Possible to Get This Rhinoplasty Result ? (Before & After Picture)

You have very realistic concerns but over the internet we all can answer YES but the results can be un predictable. There is ALWAYS risks in any surgery. We all want that perfect result but be ware and understand there are never any guarantees.

Rhinoplasty could correct the issue

From your picture there is a slight dorsal hump, the nasal tip is rotated at ~ 100 degrees and there is slight columellar show. The bump can be removed, the nasal tip thinned and rotated along with a columellar tuck to refine your nose in a similar manner as the photos provided using a closed Rhinoplasty. Hope this helps.

Rhinoplasty can Not Shorten The Upper Lip

Many of the changes that you have shown with your own imaging are possible. Hump reduction and tip refinement/elevation are all standard rhinoplasty changes that are done. Whether they will turn out exactly as you have is unknown but the result would likely be as least close to what you want to achieve. The one erroneous concept you have is that elevating the columella will shorten the upper lip. That is not achievable. Columellar retraction is done by removing a portion of... more

Rhinoplasty for bump and profile refinement, and reducing bulbous tip.

Rhinoplasty for bump and profile refinement, and reducing bulbous tip along with the reduction of the hanging columella are possible. This will not increase the upper lip. See an experienced rhinoplasty surgeon for the best result.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

It is possible to address the features you are not happy with

Luna - your nasal bump, tip rotation, and hanging columella can all be addressed with rhinoplasty. Computer imaging is an excellent method to discuss how you want your nose changed. Your result should be close to what you desire. Hump reduction and tip elevation can be readily accomplished with standard rhinoplasty techniques. Elevation of your columella is more challenging as it partially stands out due to an arching configuration of your nostril rims. These would have to be... more

Shortening the nose can lengthen the lip

You are asking two questions. The first answer is, "No." If your columella is lifted by shortening your caudal septum, your upper lip will lengthen, not shorten. The amount of lengthening is, however, controllable by the surgeon. Find someone experienced whom you like. The second question is whether you can achieve the pictured goal. The answer is both "Yes" and "No." You have created the photo of your desired result by erasing... more

Rhinoplasty

Thankis for the photos. You can achieve some of the things that you want that you present in the images. The bump can be taken down, the tip raised, and the columella show can be improved but it will not be exaclty like the computer image you created.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Rhinoplasty is not only for a hump but the tip and nostrils as well

When I was a resident I was told that when someone comes in with photos of what they would like their nose to look like or a celebrity's photo, run the other way. I don't agree. In photos submitted, you demonstrated a keen insight into what will help your nose look more attractive: reduce the bump and bring down raised nostrils. Hump reduction is the most common reason people seek rhinoplasty. You demonstrated sophisticated insight when recognizing the nostril rim problem.... more

Less is better

Your after picture seems too done and I would suggest less tip lift. You have beautiful features and less nasal changes will fit better.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Is It Possible to Get This Rhinoplasty Result ? (Before & After Picture)

Yes, all are possible if you can find a surgeon who has experience in this field. See before and after pictures to get a good idea about what you should expect.

S It Possible to Get This Rhinoplasty Result ? (Before & After Picture)

Your after pictures seem very realistic. I believe that this is attainable. The issues you raised with the columella is very valid, but you also have a bit of nostril notch, your nostril may need to be lowered. The other issue that may need to me addressed is the caudal septum, which may be contributing to the excess nostril show. As for the size of the upper lip after surgery, it is a matter of degrees of how much of the columella is lifted. Again, in my opinion your goals are very... more