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: YES- I Recommend Rhinoplasty with Deprojection | Plastic Surgery | Expert | Hanging Columella | Nose Job | Rib | Septoplasty Hello and thank you for your question and the pictures. You actually have a difficult problem. To properly address your nose and improve your facial balance, you would need a rhinoplasty with nasal tip deprojection to improve the overall harmony of your different facial features. This would also allow for adjustment of the columella so there is less nostril show- and it would allow for precise refinement of the tip. This truly a surgery of millimeters- and tip deprojection is one of the most technically challenging surgical techniques! For those reasons (any many others), I would ONLY recommend being fully asleep for this surgery- anyone who tells you otherwise is doing you a huge disservice! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually). I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps! Dr. Donald Groves Aesthetic Plastic Surgeon
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Answer: YES- I Recommend Rhinoplasty with Deprojection | Plastic Surgery | Expert | Hanging Columella | Nose Job | Rib | Septoplasty Hello and thank you for your question and the pictures. You actually have a difficult problem. To properly address your nose and improve your facial balance, you would need a rhinoplasty with nasal tip deprojection to improve the overall harmony of your different facial features. This would also allow for adjustment of the columella so there is less nostril show- and it would allow for precise refinement of the tip. This truly a surgery of millimeters- and tip deprojection is one of the most technically challenging surgical techniques! For those reasons (any many others), I would ONLY recommend being fully asleep for this surgery- anyone who tells you otherwise is doing you a huge disservice! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually). I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps! Dr. Donald Groves Aesthetic Plastic Surgeon
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November 12, 2024
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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November 12, 2024
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. Best Wishes, Gary Horndeski, M.D.
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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. Best Wishes, Gary Horndeski, M.D.
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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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