I am interested in getting a rhinoplasty but I am worried that when my hanging columella is fixed that my already long upper lip will appear even longer. I also have a high radix, as you can see from my profile. I worry that removing the bump will create the appearance of a nose that just continues straight down from my forehead, like those in Roman statues. The last picture I've posted here is an example of a result that I do NOT want for my rhinoplasty. Can I prevent these concerns?
Answer: Rhinoplasty results The concerns that you have are quite valid. You have what is known as a tension nose. The protrusion of the nasal septum is responsible for the over projection of your nose in the bottom two thirds of your nose. Deepening the radix, the area where your nose meets your forehead, is what will need to take place in order to prevent the look of the nose leading into the forehead without an appropriate naso facial angle or break. In the proper hands, you will get a wonderful result and be very pleased with your decision.
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Answer: Rhinoplasty results The concerns that you have are quite valid. You have what is known as a tension nose. The protrusion of the nasal septum is responsible for the over projection of your nose in the bottom two thirds of your nose. Deepening the radix, the area where your nose meets your forehead, is what will need to take place in order to prevent the look of the nose leading into the forehead without an appropriate naso facial angle or break. In the proper hands, you will get a wonderful result and be very pleased with your decision.
Helpful 1 person found this helpful
March 18, 2020
Answer: Rhinoplasty concerns. Will my long upper lip and high radix cause problems? Hello and thank you for the question and sharing your photos. I believe you are a great candidate for rhinoplasty. You have a dorsal hump, high radix and a bulbous tip. You will benefit from reduction of the dorsal hump, likely deepening the radix and nasal tip refinement. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
Helpful 1 person found this helpful
March 18, 2020
Answer: Rhinoplasty concerns. Will my long upper lip and high radix cause problems? Hello and thank you for the question and sharing your photos. I believe you are a great candidate for rhinoplasty. You have a dorsal hump, high radix and a bulbous tip. You will benefit from reduction of the dorsal hump, likely deepening the radix and nasal tip refinement. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
Helpful 1 person found this helpful
March 18, 2020
Answer: Deepening the radix You're right that your radix is a bit too high and anterior. This can (and probably should) be deepened during rhinoplasty, but be aware that there are anatomic limits on how much a radix can be deepened. As for the upper lip, no, it shouldn't end up looking longer and in fact it might even look better if the nasal spine were reduced a bit. Your surgeon should be able to simulate for you on the computer what might be possible given your anatomy. That's important to make sure you and your doctor are on the same page aesthetically. All the best, --DCP Pearson Facial Plastic Surgery®
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March 18, 2020
Answer: Deepening the radix You're right that your radix is a bit too high and anterior. This can (and probably should) be deepened during rhinoplasty, but be aware that there are anatomic limits on how much a radix can be deepened. As for the upper lip, no, it shouldn't end up looking longer and in fact it might even look better if the nasal spine were reduced a bit. Your surgeon should be able to simulate for you on the computer what might be possible given your anatomy. That's important to make sure you and your doctor are on the same page aesthetically. All the best, --DCP Pearson Facial Plastic Surgery®
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March 17, 2020
Answer: Rhinoplasty Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty which can performed by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from a cephalic rotation of your tip to turn up your tip slightly and a dorsal hump reduction. I agree with your goals of lowering the radix height also. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
March 17, 2020
Answer: Rhinoplasty Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty which can performed by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from a cephalic rotation of your tip to turn up your tip slightly and a dorsal hump reduction. I agree with your goals of lowering the radix height also. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
March 17, 2020
Answer: Rhinoplasty concerns Thank you for your question. Your an excellent candidate for rhinoplasty. I totally agree with you that the morphed picture would not be an acceptable result. I would lower your radix considerably. It would be important for you to only interview plastic surgeons who have extensive experience in rhinoplasty, performing at least 6-10 a month and have been doing it for many years. Remember, rhinoplasty is an art form, so study your prospective rhinoplasty surgeon's galleries critically. Best wishes to you.
Helpful 1 person found this helpful
March 17, 2020
Answer: Rhinoplasty concerns Thank you for your question. Your an excellent candidate for rhinoplasty. I totally agree with you that the morphed picture would not be an acceptable result. I would lower your radix considerably. It would be important for you to only interview plastic surgeons who have extensive experience in rhinoplasty, performing at least 6-10 a month and have been doing it for many years. Remember, rhinoplasty is an art form, so study your prospective rhinoplasty surgeon's galleries critically. Best wishes to you.
Helpful 1 person found this helpful