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Thank you for your question and the attached photographs.Assessment for residual problems related to Bell's palsy would be important before advancing to surgery. As a general statement, most people do not have nostrils that are at the same level, but the differences can be sometimes more subtle and sometimes more visible. Bringing the nostril height to better symmetry is possible but perfect symmetry is not typically achieved by surgery.The nasal tip skin appears moderately thick, so if you would like to achieve a "button nose" through surgery maintaining the to projection relatively close to the original would be important. It retains more tension in the skin and allows more definition from the front view.To define your goals more accurately computer imaging and simulation would help and would give you more guidance whether surgery is likely to provide a result compatible with your aspirations. It would also help to understand whether a "button nose" would integrate with your facial features and whether you would like the overall balance.
The main problem is that the tip of your nose sticks too far out from the face. You need the bridge lowered so the tip is placed closer to your face as well as a tip plasty. If you only work on the tip I don’t think the result will be right.
After seen your pics; We think a complete open rhinoplasty should be best option for you. Your tip, nasal bones and dorsum need some workBest Wishes
Thankyou for your questions and for sharing your photos. You are an excellentcandidate to have a nasal tip plasty, however it is difficult to assessthe rest of your nose fully with the photos provided. You may requiretip plasty as part of performing rhinoplasty and addressing other parts of yournose in order to get a more define and harmonious result.Iwould advise that you have a consultation with a nasal surgeon with the expertisein performing rhinoplasty surgery so that you can achieve yourdesired cosmetic outcome without any potential compromise on your nasalairway. Best Wishes
Great question. It is exceptionally rare to get a keloid from a rhinoplasty procedure. Having said that, any time a surgery is done and the skin is cut, one can expect a "scar". Vast majority of the time, the scars are not easily noticeable to an ordinary person. This...
The photographs demonstrate a portion of your lower lateral cartilage that is concave in shape, not convex like the other side. Both cartilages are usually convex. A surgical closed rhinoplasty can accomplish augmenting the depressed area with a very small softened and morselized car...
Good question! A Polly beak is almost always from failure to lower to bridge all the way out to the tip. If the bridge is only lowered in the upper part of the nose you are more likely to see a Polly beak. Unfortunately this is a common mistake in rhinoplasty which can be avoided in most cases.