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Thanks for sharing your questions and photographs. An experienced rhinoplasty surgeon should be able to address all of your concerns with a closed rhinoplasty. However, correction of the alar-columellar ratio problem ("hidden columella") would usually be done with a graft. There are several ways to accomplish this; septal extension grafting, as mentioned by others, would be one way. I'm not optimistic that simply suturing the medial crura would allow for adequate correction.
Yes it's possible to accomplish this with a technique called septal extension grafting. This is done just like a rhinoplasty, and it makes the columella appear just a bit longer than the alar wings, making the nose more harmonious. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. I've attached a link where you can start your search.
Hello and thank you for your question. Based on yourphotograph, you may benefit from a tip refining rhinoplasty which can also help increase columellar show. Suturing the medial crural footplates can also be designed to push the columella forward. Make sure you specifically look at before and afterpictures of real patients who have had this surgery performed by your surgeonand not just a computer animation system. The most importantaspect is to find a surgeon you are comfortable with. I recommend that you seekconsultation with a qualified board-certified plastic surgeon who can evaluateyou in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
Increasing columellar show in any appreciable way is best done by placing cartilage grafts behind it. (septal extension graft) Driving out the unsupported medial footplates is what is needed to push the nasolabial junction forward.
As you heal from rhinoplasty the inflammation in your nose causes the nasal passages to swell and also can trigger more mucus production. With the addition of splints, your normal nasal drainage pathways can be obstructed. Since the ears drain in the back of the nose, you can have...
Hi. Thank you for posting your questions and photos. It is clear that you have separation of your alar cartilage, in particular the middle and medial crura of your alar cartilages. You also have a degree of nostril show, which could be a combination of hanging columella and alar retraction...
The recovery time is often the most difficult part of the process. It can be extremely challenging to look in the mirror and not see the results you were hoping to attain. Truth is, 10 days post op, you are still quite swollen and your true results won't be apparent for up to 3 months post op....