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Those lumps are from the medial crural footplate of your nose cartilages, which are normal to have. However, I do agree they are possibly sticking out too far from your nose and could be brought in closer together. That could be a relatively easy surgery to do (could even be done "closed"), assuming that nothing unusual was placed there on your first surgery. As for decreasing the amount of nostril show, however, it's hard to tell if it's a lot of show because you're tilting the camera upward or if that is natural. If it's tilting upward, then you also may need some articulating rim grafts to help lower the nostril show some. If it's really as much as this photo shows, then you will likely need composite ear grafts because you will need both cartilage and skin to bring the nostrils down. Good luck! (make sure to go to a good revision rhino specialist!)
Good morning!The lumps in the nostrils are your medial crural footplates of your nasal cartilages. They are a normal anatomic structure, and some patients have more "flare" than others. It is possible to cinch them together with a suture, which can cause increase in projection of the tip. For the increase in nostril show, your tip may be over rotated, so lengthening the nose and derotating the tip will improve the nostril show. Ability to lengthen the tip is dependent on how mobile your skin is. Good luck!
Your nose can be effectively fixed. Based on your pictures, it appears that a tip-plasty to refine the tip of your nose would be necessary. Make sure to consult with a board certified plastic surgeon well versed in that area. Best of luck !
It's often difficult to "reverse the osteotomy," coaxing the bones out wider. If that can't be done, then some grafting on the sides can be accomplished, to make the upper part of the nose *look* as though the bones were wider. How much can be done for the width of the tip part of the nose...
Hello, From the photos it appears that the two biggest issues are cephalically oriented lower lateral cartilages, and lack of columella. The Cephalic cartilages lead to a rounder tip appearance and lack of nostril support, which can cause them to retract upward.The lack of columellar support...
