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What is this red line under my nose? How can this tightness be resolved? (photo)

gk14
My 1st revision has gone wrong in many ways (not pictured). Amongst many issues I have this red line under the columella across to both nostrils when i smile or talk and it is so tight and painful I actually have to stop myself from smiling to avoid it pulling due to the discomfort. I have a rib columella strut which is sewn to the cruras (as on notes) and had abr. I need derotation, length and infratip back. How can this tightness be resolved?

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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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