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Hello and thank you for your question. Based on your photograph, you may benefit from a revision. Maneuvers for your surgery would include tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
If the bunched up skin next to your nose is due to a hyperactive nasalis muscle, botox injections are relatively easy and predictable for improving upon the the appearance of your nose with smiling. An in person evaluation would be necessary to determine if this is feasible. I hope this is...
Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.