Do I have a hanging columella? (Photo)
Doctor Answers 7
What makes a nose hang
In your case, your tip is not hanging. The depressor septi muscle may pull your tp down when smiling. That can be cut during surgery. Your main problem is a downward sloping nostril rim, which results from cartilage that is angled too high towards the side of the nostril. My suggestion is to have a tip plasty where the infratip lobule is flattened to reduce fullness on the front view and slightly raise the tip defining point. The tip should be slightly narrowed with suture modification, and have Alar rim graphs placed on both sides to flatten out the nostril contour. Also a nostril reduction may help in rounding out the shape of the nostril when viewed on profile.
Do I Have a Hanging Columella?
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Columellar- plasty for hanging columella
You may have a slightly hanging columella. Alternatively, your nostril rim may be too high. I would recommend a consultation with an American Board of Plastic Surgery board certified plastic surgeon for a discussion of your options. Good luck!
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