Is it possible to get the septum of my nose shortened, so that it is aligned with the end of my nostrils? Price? (Photo)

Question

Ive always been self conscious of where the sides of my septum show in profile pictures. I feel as though it adds to the size of the profile of my nose.

Steven M. Denenberg, MD · Answer

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_mlfisher00.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.I lowered the bump on the bridge, and I "de-projected" the nose, which means bringing the tip and the entire nose back closer to your face. See if you think the morph captured what you're looking for.The amount of the septum that is visible from the exact profile view varies from person to person, but there is supposed to be a small amount visible. If there is none visible, then the nose looks "funny", or "wrong" somehow. IMO, the amount that you have showing is actually smaller than average. I think it might just be something that you are sensitive to.And by the way, addressing another post of yours, a non-surgical rhinoplasty would be awful on you. It would make your nose look bigger, and I don't think you'd be very interested in that.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon. Rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns? I could modify the morph to your taste if you wish.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery.

William Portuese, MD · Answer

The hanging columella can be reduced with a columella-plasty. This can be performed under local or general anesthesia  depending upon the patient's desires. The procedure involves removing excess skin and cartilage from the caudal septal area to give better balance to the nose. For many before-and-after examples along with our current price list, please see the link and the video below

Is it possible to get the septum of my nose shortened, so that it is aligned with the end of my nostrils? Price? (Photo)

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