I had a rhinoplasty before but I’m not really satisfied with the results: The tip of my nose looks way too big and I have excess nostril show. Also, there’s a genetic difference between my two profiles, on the left side my columella show is 6-7 mm, while on the right it’s 8-9 mm! I read it should normally be about 2-4 mm. I attached some photos. Do I also have alar retraction? Can these be fixed somehow, if yes, how? Can I ever have a symmetrical nose? Thank you.
March 14, 2023
Answer: Hanging columella Hello ! Based on the pictures you provided, it looks like you have a condition called “hanging columella” that allows too much nostril show. It can unfortunately result from the past rhinoplasty. To correct a hanging columella, one possible method involves shortening an excessively long nasal septum by trimming its end. The two cartilages located in the nasal tip that rest within the columella can be repositioned upwards and secured to the septum, resulting in a stable nasal tip structure. Additionally, some of the skin in the columella area may be removed and reattached upwards. I would advise to opt for a board certified plastic surgeon expert in revision rhinoplasty for the best results. I hope this helps, Best of luck ! Randal Haworth
Helpful
March 14, 2023
Answer: Hanging columella Hello ! Based on the pictures you provided, it looks like you have a condition called “hanging columella” that allows too much nostril show. It can unfortunately result from the past rhinoplasty. To correct a hanging columella, one possible method involves shortening an excessively long nasal septum by trimming its end. The two cartilages located in the nasal tip that rest within the columella can be repositioned upwards and secured to the septum, resulting in a stable nasal tip structure. Additionally, some of the skin in the columella area may be removed and reattached upwards. I would advise to opt for a board certified plastic surgeon expert in revision rhinoplasty for the best results. I hope this helps, Best of luck ! Randal Haworth
Helpful
March 14, 2023
Answer: Nose too big and excess nostril show You do have a hanging columella which can be reduced by excision of extra skin and cartilage on the inside of the nose. It's very important have realistic expectations moving forward with a revision rhinoplasty, since there is no perfect nose And your nostrils will never be symmetrical. Just like there is facial asymmetry, There's also nasal asymmetry which is genetic.
Helpful
March 14, 2023
Answer: Nose too big and excess nostril show You do have a hanging columella which can be reduced by excision of extra skin and cartilage on the inside of the nose. It's very important have realistic expectations moving forward with a revision rhinoplasty, since there is no perfect nose And your nostrils will never be symmetrical. Just like there is facial asymmetry, There's also nasal asymmetry which is genetic.
Helpful