Can asymmetry on columella be fixed by a revision surgery with local anesthesia? (Photos)

Hello and thank you for your question. I am sorry to hear you are so unhappy after your prior surgery, I truly empathize with you, as no one should feel uncomfortable in their own skin. By 3 years post-op, all the swelling should be fully resolved. A revision (tertiary) open septorhinoplasty can...

The technique I use is septocartilage as a spreader graft to create more projection of the tip. Best Wishes, Gary Horndeski, M.D.

Hello! Thank you for your question. As far as I can see from your question you need also alar base plasty for your nose base. This means closed rhinoplasty would not help you to achieve your goals. If you want you can have closed but I recommend you open rhinoplasty surgery. Best Regards!