How Realistic is It to Shorten Philtrum, Decrease Width of Columella, and Expect Good, Natural Results? (photo)

July 16, 2012
Asked By:mezak

Had a 1st rhinoplasty/septoplasty in 2005 and LeFort I osteotomy in 2012. My upper lip became less visible and pronounced/uneven nasolabial folds. Septum weakened, tip of nose began to "slide" down. In Dec 2010, had septum "re-built" from rib graft and tip raised. Lots of scar tissue formed; 7 months ago, had another revision---all scar tissue removed. Nose is still bulbous, lots of scar tissue, wide base and philtrum. What would you do knowing my hx and seeing photos?? Thanks!

3 photos

Answers (4)

From board-certified doctors and trusted medical professionals
MOST RECENT
July 22, 2012

Answer: Rhinoplasty

Ronald J. Edelson, MDBoard Certified Plastic Surgeon
MOST RECENT
July 22, 2012

Answer: Rhinoplasty

Ronald J. Edelson, MDBoard Certified Plastic Surgeon
July 18, 2012

Answer: Nasal revision and shortening upper lip.

Toby Mayer, MDBoard Certified Facial Plastic Surgeon
July 18, 2012

Answer: Nasal revision and shortening upper lip.

Toby Mayer, MDBoard Certified Facial Plastic Surgeon
July 20, 2012

Answer: Realistic Expectations for Revision Rhinoplasty

July 20, 2012

Answer: Realistic Expectations for Revision Rhinoplasty

Recommended reading

Lip Lift

Everything you need to know about Lip Lift

  • 90% worth it
  • 1.2k reviews
  • Avg cost: $4,533
Learn More
ADVERTISEMENT
ADVERTISEMENT
July 18, 2012

Answer: Realistic

July 18, 2012

Answer: Realistic

Recommended reading

Lip Lift

Everything you need to know about Lip Lift

  • 90% worth it
  • 1.2k reviews
  • Avg cost: $4,533
Learn More
ADVERTISEMENT