Hello, I have never had work done before on my nose. I have been insecure about the bottom part of my nose and upper lip area since I can remember, especially with my side profile. Can surgery be done to reduce the nostril show to make it more 90 degree shaped? Also can this surgery be done with local anesthesia? Thank you
Answer: Indeed, you appear to have a tension nose and a hanging columella. Based on your photographs, I think that you have excessive nostril show because your nasal septum may be a bit too long. That appears to be pushing your columella downwards, and this is also associated with a prominent anterior nasal spine. That is the piece of bone that causes a tension nose, often called a tension lip deformity. Rhinoplasty techniques are often utilized to improve these two specific issues that are bothering you. In that regard, please consult with several reputable rhinoplasty specialist so you could see what to expect after surgery. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph
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Answer: Indeed, you appear to have a tension nose and a hanging columella. Based on your photographs, I think that you have excessive nostril show because your nasal septum may be a bit too long. That appears to be pushing your columella downwards, and this is also associated with a prominent anterior nasal spine. That is the piece of bone that causes a tension nose, often called a tension lip deformity. Rhinoplasty techniques are often utilized to improve these two specific issues that are bothering you. In that regard, please consult with several reputable rhinoplasty specialist so you could see what to expect after surgery. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph
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January 1, 2024
Answer: Closed rhinoplasty Hi from Istanbul. Yes, your nose does exhibit characteristics of a tension nose with a hanging columella. This can be corrected through a procedure that adjusts the orientation of your nasal cartilage in a three-dimensional manner. A closed rhinoplasty approach can be used for this type of correction, meaning there will be no visible scarring. Hope this helps, best of luck!
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January 1, 2024
Answer: Closed rhinoplasty Hi from Istanbul. Yes, your nose does exhibit characteristics of a tension nose with a hanging columella. This can be corrected through a procedure that adjusts the orientation of your nasal cartilage in a three-dimensional manner. A closed rhinoplasty approach can be used for this type of correction, meaning there will be no visible scarring. Hope this helps, best of luck!
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December 12, 2023
Answer: Rhinoplasty I recommend an open rhinoplasty to change the position of the columella. Your medial crura needs to be elevated higher and the columella needs to be shortened.
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December 12, 2023
Answer: Rhinoplasty I recommend an open rhinoplasty to change the position of the columella. Your medial crura needs to be elevated higher and the columella needs to be shortened.
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December 12, 2023
Answer: Rhinoplasty Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. In your case, you do have a significant hanging columella and retracted alar rims. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. You should be able to have an excellent result. Best wishes to you.
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December 12, 2023
Answer: Rhinoplasty Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. In your case, you do have a significant hanging columella and retracted alar rims. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. You should be able to have an excellent result. Best wishes to you.
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December 12, 2023
Answer: It can likely be improved. More... There are a few factors that can make the columella hang down like that. The septum can be strong and pushing the columella down. That's the most straightforward issue to correct, and you might have some of it: on your profile line, your upper lip is short vertically before it starts to move forward onto the bottom of your nose, and that's a clue. Then, the columella is part of the same two cartilages that form the tip of the nose, and that attachment can put a limit on the amount of improvement that is possible, because trying to force the columella upward can distort the tip. The task is to balance improvement of the columella with protecting a nice tip. You do seem to have a mild tension tip, which would be corrected with a small take-down of the height of the bridge, so the bridge and tip have a relationship that you like better.
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December 12, 2023
Answer: It can likely be improved. More... There are a few factors that can make the columella hang down like that. The septum can be strong and pushing the columella down. That's the most straightforward issue to correct, and you might have some of it: on your profile line, your upper lip is short vertically before it starts to move forward onto the bottom of your nose, and that's a clue. Then, the columella is part of the same two cartilages that form the tip of the nose, and that attachment can put a limit on the amount of improvement that is possible, because trying to force the columella upward can distort the tip. The task is to balance improvement of the columella with protecting a nice tip. You do seem to have a mild tension tip, which would be corrected with a small take-down of the height of the bridge, so the bridge and tip have a relationship that you like better.
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