Had open rhinoplasty alar setback technique but I think the tip and columella is still big. Is there any way to shrink? (Photos)
Doctor Answers 3
I believe you already achieved more than the 80% of your result - I like it - and I would be very careful in balancing risks and benefits of a new procedure.
Craniometry shows that your lower third of the face is very weak compared to the mid (cheek and nose).
This factor alone will always make your nose look too large and prominent.
A chin implant is an excellent and safe solution to adjust the proportions and I believe this is the only thing you need.
With best regards,
8 months post op, some advices:
Congratulations for having patience and wait more than six months PO, which is the recommended time allowed to make judgments of value and be precise and accurate.
After having analyzed all the info and photos provided to us, i recommend to perform a Secondary Rhinoplasty (not a tip revision) this means (basically) treat the nasal bones and the nasal cartilages.
Therefore i would perform a narrowing of the nasal base (nose osteotomy) and alar and triangular cartilage shaping.
Dr. Emmanuel Mallol Cotes.-