Hanging columella and square nose tip (Photo)
Doctor Answers 3
Hi. Your nose is pretty good to start with but there are subtle improvements that could be made. I would advise septoplasty with a tip rhinoplasty and shaving 2 mm off the dorsum. This would subtly improve the profile and refine the tip. I agree the tip needs to be elevated and the columella revised.
Whilst it is possible to have the tip rhinoplasty alone done under twilight anaesthesia I would highly recommend a GA and certainly if you want all of the above refinements then you need a proper anaesthetic.
Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from a cephalic rotation of your tip to turn up your tip
slightly and a conservative dorsal hump reduction. Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Your nose looks fine and in nice proportions to your face. If you want to alter it then you would need a very subtle change which in some ways is more difficult - you have very thin skin and this makes these changes even more challenging so you would certainly need a specialist rhinoplasty surgeon and would need a general anaesthetic
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.