Is it possible to reduce my Nasolabial angle? (photo)

Question

My dorsal hump aside, is there any method to reduce my nasolabial angle? perhaps trimming the hanging columella or shaving the nasal spine?. I've had a consultation and the surgeon said he didn't think he could help. I'm devastated. The protruding philtrum area is fleshy and can be pushed back when pressure applied with a finger etc.

Kenneth Hughes, MD · Answer

The spine and caudal septum contribute to this and can be reduced.Find a board certified plastic surgeon who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

William Portuese, MD · Answer

It is possible change the nasal labial angle but only a minimal difference. Shaving the bony hump will give more of a difference. A columellar- plasty  can help reduce the prominent columella. A closed rhinoplasty approach can accomplish your goals with placement of all incisions on the inside of the nose. For many examples of a columellar-plasty please see  the link  and the video below

Barry L. Eppley, MD, DMD · Answer

Reduction of your nasolabial angle can be done and what you have imaged is not an unrealistic outcome from doing it. This is the result of your anterior nasal spine and lower edge of the caudal septum and/or a hanging columella. A physical exam can make that determination. Either way your nasolabial angle can be reduced as part of your rhinoplasty procedure.

Frederic H. Corbin, MD (license restricted) · Answer

The short answer is yes the angle can be changed in either direction but obviously with different techniques. I not uncommonly operate on patients who have had surgery done elsewhere and have had there noses turned up too much and would benefit from shortening. Find another PS or surgeons in your area who would feel comfortable doing the usrgery you desire and ask to see photos of similar patients

Dr. Corbin

Dr. Corbin

Jay M. Pensler, MD - Account Suspended · Answer

There are several ways to increase or reduce the nasolabial angle.This is relatively straightforward in experienced hands.You also have a small retruded chin that may benefit from being addressed at the same surgery.

Is it possible to reduce my Nasolabial angle? (photo)

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