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Removal of anterior nasal spine on rhinoplasty? (Photo)

xxxxxxtyhbjAug 17, 2023
I had a rhinoplasty 2.5 years ago. When smiling, something looks off, and my upper lip goes upward behind the collumela, and my nose crookes because of the upward force. Before surgery, I could clearly feel the anterior nasal spine bone where my collumela meets my upper lip when pressing upward. Now, there’s no bone, just cartilage (septum?). I can safely say the bone is gone and it’s enabling my upper lip to move upward more than it used to. Is there a solution to this?

Answers (1)

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Selcuk Inanli, MD profile photo
Dr. Selcuk Inanli, MD
Facial Plastic Surgeon
4.8 | 75 Reviews
Answered on Aug 18, 2023
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Selcuk Inanli, MD

Hello! Thank you for your question. As far as I can see from your photos one side of your nose seems collapse due to the previous surgery. It can be cause of the runny nose and breathing issues. For get rid of these things and gain more healthy and natural looking nose I recommend you revision...

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Andrew Miller, MD

A needle is not strong enough to shave bone. It can shave cartilage down though. The bone would have to be filed down with a rasp, but the procedure is quick under a local anesthetic.

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Selcuk Inanli, MD

Hello! Thank you for your question. As far as I can see from your photos, you have a droopy tip, small dorsal hump and from the front your nose looks like deviated to the one side of your face. Your surgeon might need rib cartilage because s/he does not know the amount of cartilage in your nose....

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