Tethered Lip Due to Large Nasal Spine VS Hanging Columella? (photo)

Which patient can expect greater upper lip gains after they've corrected these issues?

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lips hanging columella

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2 Doctor Answers | Asked by davidvilla

Doctor Answers (2)
Community Comments (1)

Dear David Villa

Hi David, I've noticed that you've asked a large number of questions on Realself related to your nose and long face research. You've used a variety of pictures to ask about and illustrate your concerns, but are any of your posted pictures of you? I think the answers provided by all the surgeons have been great, and have given you a lot of useful information. But I don't think you're going to learn much more by posting essentially the same questions over and over. If you... more

Nasal issue

It is unfair to comment on these two photos because they are very different, and an in person exam would be essential. The photo on the right looks like if a dorsal hump is removed, this will relax the tension on the tip and lip and most likely willnot need a nasal spine reduction. The left one, I would have to see in different angles.

Steven Wallach, MD

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Manhattan Plastic Surgeon

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davidvilla 24 Nov 2012

Howard Webster, The reason i ask many questions is because my nose is very complicated, i have many issues which need to be resolved, i appreciate everyone's time on here, knowledge for me is essential as i need to communicate with my PS and address issues to the most detailed form. furthermore i need to know what one PS can do compared to another. Thanks

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