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.
Answer: Revision rhinoplasty may be considered for nasal downsizing and for repairing a hanging columella. Based on your photos, that does not appear to be a significant difference in your nasal appearance after rhinoplasty. Depending upon your examination, revision rhinoplasty may be considered for achieving narrowing of the lower 1/3 of your nose and repair of your hanging columella on both sides for a more symmetrical nostril appearance. Hope this helps! Dr Joseph
Helpful
Answer: Revision rhinoplasty may be considered for nasal downsizing and for repairing a hanging columella. Based on your photos, that does not appear to be a significant difference in your nasal appearance after rhinoplasty. Depending upon your examination, revision rhinoplasty may be considered for achieving narrowing of the lower 1/3 of your nose and repair of your hanging columella on both sides for a more symmetrical nostril appearance. Hope this helps! Dr Joseph
Helpful
April 17, 2023
Answer: Things you should know about revision rhinoplasty Thank you for your question and for providing photos. Assuming it’s been a year or more since your initial surgery, you may benefit from a revision to correct your nose’s appearance. During this procedure, the nose can be resized and reshaped, and cartilage can be excised to reduce the columella and nostril show while improving symmetry.
Helpful
April 17, 2023
Answer: Things you should know about revision rhinoplasty Thank you for your question and for providing photos. Assuming it’s been a year or more since your initial surgery, you may benefit from a revision to correct your nose’s appearance. During this procedure, the nose can be resized and reshaped, and cartilage can be excised to reduce the columella and nostril show while improving symmetry.
Helpful
March 25, 2023
Answer: Greetings from Istanbul! Hello! Thank you for your question.I have evaluated your case regarding the information you provided and your photos.From the photos it looks like your columella is very down, it needs to be lifted (same for your tip). There is an asymmetry between both nostrils (that is mostly because of the columella). I recommend you a revision surgery, but please keep in mind that 100% symmetry is never achievable.
Helpful
March 25, 2023
Answer: Greetings from Istanbul! Hello! Thank you for your question.I have evaluated your case regarding the information you provided and your photos.From the photos it looks like your columella is very down, it needs to be lifted (same for your tip). There is an asymmetry between both nostrils (that is mostly because of the columella). I recommend you a revision surgery, but please keep in mind that 100% symmetry is never achievable.
Helpful
March 14, 2023
Answer: Hanging columella Hello !
Helpful
March 14, 2023
Answer: Hanging columella Hello !
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
