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If my surgeon shortened the tip but forgot to trim the excess skin in the columella would that translate to a longer philtrum?

Feijoa37Mar 21, 2023
My primary rhinoplasty surgeon says he did very little during surgery, but the nose was shortened and narrowed too much with cephalic trim/ intradomal suture. If he shortened the tip but forgot to trim the excess skin in the columella would that translate to a longer philtrum, more slack and less tooth show?

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Dr. Selcuk Inanli, MD
Facial Plastic Surgeon
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Answered on Apr 8, 2023
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Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Mar 23, 2023
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Waseem Saeed, BSc, MBChB, FRCS(Plast)

Dear Glorious153891,I do not use steroids prior to surgery. Thick skin does make the achievement of a defined tip more difficult. In my opinion and practice, this requires adequate structural support for the tip at surgery and active post-operative management of swelling.All the best, Waseem Saeed

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Eric M. Joseph, MD

Based on your photos, there does not appear to be a significant asymmetry in your nasal tip appearance. And you also have a pleasing profile without stigmata of several nasal surgeries. Please consider reasking your question with better photos or consult with your surgeon. Hope this helps! Dr....

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Randal Haworth, MD, FACS

Hello ! It’s important to understand that the outcome of any revision rhinoplasty procedure can be unpredictable and will depend on several factors, including the surgeon's skill, the complexity of the procedure, and the patient's unique anatomy and healing response. In cases where the donor d...

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