I want to know how I can make my nasolabial angle more obtuse and attractive. While researching, I realized it's not just the angle, but it has to be something underneath at the base of the nose that is different. After looking this up, I saw a two types of surgeries on google images... a "premaxillary augmentation", and a "paranasal augmentation". Could someone tell me how this could augment my philtrum and increase my nasolabial angle? Are there even any surgeons who perform this?
Answer: Nose evaluation Hello and thank you for your question. Altering one component of the nose may significantly affect another area of the nose. Although you've asked a specific question about the nasolabial angle and augmentation of the philtrum, an exam in person is ideal in this situation. Although injectable fillers may be used, permanent/predictable changes to the nasal tip (including your nasolabial angle) are performed with a tip rhinoplasty where the nasal tip cartilage is modified for a more refined, feminine look. The modification of your nasal cartilage can be done with trimming, stitching or grafting. If your septum is deviated and you have breathing difficulty, a septoplasty may benefit you as well. The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.
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Answer: Nose evaluation Hello and thank you for your question. Altering one component of the nose may significantly affect another area of the nose. Although you've asked a specific question about the nasolabial angle and augmentation of the philtrum, an exam in person is ideal in this situation. Although injectable fillers may be used, permanent/predictable changes to the nasal tip (including your nasolabial angle) are performed with a tip rhinoplasty where the nasal tip cartilage is modified for a more refined, feminine look. The modification of your nasal cartilage can be done with trimming, stitching or grafting. If your septum is deviated and you have breathing difficulty, a septoplasty may benefit you as well. The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.
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April 27, 2020
Answer: Rhinoplasty for Acute Nasolabial Angle Dear Haxzel,Your assessment about the acute nasolabial angle is accurate. This can be made more obtuse with a combination of various rhinoplasty techniques and might not need a premaxillary augmentation. Upward rotation of the tip is necessary and it can be achieved with various methods, the one chosen would also be depenent by the frontal view of your face and the width of your alar cartilages. It would be best to evaluate you in person to be able to determine these parameters along with the elasticity and resilience of your cartilages, the skin thickness and also the other related contours of your face. This way your surgeon is able to come up with a safe, feasible surgical plan that would suit your overall appearance and look aesthetically pleasing and natural on you. Some offices offer computer imaging as a means of communication about the design of the nose and to determine which one looks best on a particular face. Our patients love this option and it offers an effective platform to discuss details together. It is best to be evaluated by a surgeon who is very experienced with Rhinoplasty and Board Certified by the American Board of Facial Plastic Surgery or Plastic Surgery.Best Regards in your quest, Dr. Anna PetropoulosBoard Certified Facial Plastic SurgeonNorth Shore Boston
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April 27, 2020
Answer: Rhinoplasty for Acute Nasolabial Angle Dear Haxzel,Your assessment about the acute nasolabial angle is accurate. This can be made more obtuse with a combination of various rhinoplasty techniques and might not need a premaxillary augmentation. Upward rotation of the tip is necessary and it can be achieved with various methods, the one chosen would also be depenent by the frontal view of your face and the width of your alar cartilages. It would be best to evaluate you in person to be able to determine these parameters along with the elasticity and resilience of your cartilages, the skin thickness and also the other related contours of your face. This way your surgeon is able to come up with a safe, feasible surgical plan that would suit your overall appearance and look aesthetically pleasing and natural on you. Some offices offer computer imaging as a means of communication about the design of the nose and to determine which one looks best on a particular face. Our patients love this option and it offers an effective platform to discuss details together. It is best to be evaluated by a surgeon who is very experienced with Rhinoplasty and Board Certified by the American Board of Facial Plastic Surgery or Plastic Surgery.Best Regards in your quest, Dr. Anna PetropoulosBoard Certified Facial Plastic SurgeonNorth Shore Boston
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April 23, 2020
Answer: How can I augment my philtrum/Get a nicer nasolabial angle? Hello and thank you for your question and sharing your photos. It is necessary to see your standard full face and profile views for a better analysis. You seem to benefit from a tip refinement rhinoplasty, focusing on nasal tip cephalic rotation. An attractive nasolabial angle is 100-110 degrees in women. There are a several techniques available to achieve this, and all have to do with manipulating the alar cartilages and use of cartilage grafting. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,
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April 23, 2020
Answer: How can I augment my philtrum/Get a nicer nasolabial angle? Hello and thank you for your question and sharing your photos. It is necessary to see your standard full face and profile views for a better analysis. You seem to benefit from a tip refinement rhinoplasty, focusing on nasal tip cephalic rotation. An attractive nasolabial angle is 100-110 degrees in women. There are a several techniques available to achieve this, and all have to do with manipulating the alar cartilages and use of cartilage grafting. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,
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April 22, 2020
Answer: Rhinoplasty It is very difficult to give you good advise without in person evaluation. In general, naso-labial angle can be corrected with a relatively simple surgery. However, whether correction of naso-labial angle or other variation of rhinoplasty would be best suited for your needs can be decided only on the basis of in person evaluation and discussion about your goals. Good luck.
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April 22, 2020
Answer: Rhinoplasty It is very difficult to give you good advise without in person evaluation. In general, naso-labial angle can be corrected with a relatively simple surgery. However, whether correction of naso-labial angle or other variation of rhinoplasty would be best suited for your needs can be decided only on the basis of in person evaluation and discussion about your goals. Good luck.
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April 22, 2020
Answer: Rhinoplasty would be best Hax: You do have a pretty sharp, acute nasolabial angle like you say. It usually means your septum is deficient at the bottom, combined with tip cartilages that point down. Your best result would be a rhinoplasty with caudal septal augmentation which will push the columella down, and additionally you can perform maneuvers like tongue-in-groove or better yet lateral crural overlay (I would recommend lateral crural overlay) to rotate your tip cartilages higher and give your nose a more feminine appearance. The whole nose has to work together, so you might need a hump reduction too. Best of luck.
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April 22, 2020
Answer: Rhinoplasty would be best Hax: You do have a pretty sharp, acute nasolabial angle like you say. It usually means your septum is deficient at the bottom, combined with tip cartilages that point down. Your best result would be a rhinoplasty with caudal septal augmentation which will push the columella down, and additionally you can perform maneuvers like tongue-in-groove or better yet lateral crural overlay (I would recommend lateral crural overlay) to rotate your tip cartilages higher and give your nose a more feminine appearance. The whole nose has to work together, so you might need a hump reduction too. Best of luck.
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