Hanging columella? (photos)
Doctor Answers 5
Rhinoplasty revision, advices:
Therefore i would perform a narrowing of the nasal base (nose osteotomy) and alar and triangular cartilage shaping. Respectfully,
Dr. Emmanuel Mallol Cotes.-
Hanging columella AND retracted alae
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You have both nostril retraction ( nostrils have risen up ) and true columella excess - you are correct that just lifting the columella area would make your tip too turned up - you need the tip rotated downwards, the nostril rims lowered and some elevation of the hanging columella - this will not be easy and requires a specialist reversional rhinoplasty surgeon and possibly some additional cartilage grafts if your septum has already been used previously
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