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Hello and thank you for your question. Based on your photograph, alar retraction is causing excessive nostril show. This can be fixed during a revision with placement of extended alar contour grafts and appropriate tensioning of the tip. 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
There are many options including fat grafting, ablative laser, retinoid therapy, and more. You need to see an expert rhinoplasty American Board of Plastic Surgery certified surgeon.
We can see that the upper 1/3 of your nose was made a bit too low. Depending on your examination, microdroplet Silikon-1000 injections may be considered for permanently replacing lost volume and for improving upon your nasal profile appearance without the inconvenience of additional surgery....
Up close photos are difficult to interpret. We can see that you have relatively thin nasal skin and some asymmetries of your tip and nasal base. If this is causing you severe dissatisfaction, please meet with several reputable rhinoplasty specialists so you can see what might be best for you...