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Can you add volume to the columella with PDA threads? (photos)

Carol_in_NYJan 29, 2023
I had a revision tip rhinoplasty for nostril asymmetry and my surgeon much removed my columella due to a misunderstanding. Now it looks flat and weird from the side and front as well, and my nosetrils look unnaturally close. My surgeon suggested PDA threads to even it out as opposed to fillers, but all I could find online was nose thread lifting and contouring. Would it work for a problem like this? Thank you for your advice!

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Dr. Eric M. Joseph, MD
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Eric M. Joseph, MD

Based on your profile photo and what you're looking to achieve, Injectable fillers may be considered for camouflaging your relatively small profile dorsal hump. Please consult with several reputable Rhinoplasty specialists who understand the anatomy of the nose so you achieve an optimal result....

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Eric M. Joseph, MD

I can understand your desire to not undergo further nasal surgery. You may have a slight indentation along your left nasal sidewall that may be causing a crooked appearance. Depending on your examination, filling this may be considered - especially if you don’t mind the width of your nose on f...

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Eric M. Joseph, MD

But you have a deep radix that might require a lot of filler. Consider asking your question with before and after photos. Wishing you well. Dr Joseph

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