I don't want a rhinoplasty but I would like to decrease my VERY POTRUDING nasal spine signifigantly so my upper lip can relax. I'd like to do this w/o general anesthesia &w/o afterwards complications to my breathing. I'm assuming the nasal spine wouldn't affect my nose much but am unsure. My lip is so tethered upwards & not relaxed and makes my nose look even bigger b/c my upper lip recedes inwards. I've generated some "after" photos to show what my lip would look like without a big nasal spine.
Answer: #nasalspine Without a true side view it is impossible to say whether your request is reasonable. Based on the front view I do not think it is. Removing the spine will decrease the nose-lip angle, retrude the columella and rotate the tip downward. From a front view that does not look like a good idea.
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Answer: #nasalspine Without a true side view it is impossible to say whether your request is reasonable. Based on the front view I do not think it is. Removing the spine will decrease the nose-lip angle, retrude the columella and rotate the tip downward. From a front view that does not look like a good idea.
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May 11, 2016
Answer: Nasal spine adjustment Wow, you've researched this issue impressively. I don't see a profile view or a picture that shows relationship between lips and teeth. Those factors are important (in addition to physical exam) to understand your situation and in deciding how to manage.Because the nasal spine, base of columella, and upper lip are together in a small exposed area, such problems CAN be fixed under local anesthesia. Still, because operating on one area affects relationships of that area with adjacent structures, adjustments to those adjacent structures (nasal septum, nasal tip, upper lip) are often required for natural harmony and proportion. If this is the case, general anesthesia and a more comprehensive procedure may be recommended.
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May 11, 2016
Answer: Nasal spine adjustment Wow, you've researched this issue impressively. I don't see a profile view or a picture that shows relationship between lips and teeth. Those factors are important (in addition to physical exam) to understand your situation and in deciding how to manage.Because the nasal spine, base of columella, and upper lip are together in a small exposed area, such problems CAN be fixed under local anesthesia. Still, because operating on one area affects relationships of that area with adjacent structures, adjustments to those adjacent structures (nasal septum, nasal tip, upper lip) are often required for natural harmony and proportion. If this is the case, general anesthesia and a more comprehensive procedure may be recommended.
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May 11, 2016
Answer: Protruding nasal spine and tethered lip? Protruding nasal spine and tethered lip? You also have a slightly projected tip which may need to be reduced to give you what you want. I need to see better photos or an examination to determine if reducing only the spine would be sufficient. See an experienced rhinoplasty surgeon to discuss these issues and so you do not end up with an overdone nose .
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May 11, 2016
Answer: Protruding nasal spine and tethered lip? Protruding nasal spine and tethered lip? You also have a slightly projected tip which may need to be reduced to give you what you want. I need to see better photos or an examination to determine if reducing only the spine would be sufficient. See an experienced rhinoplasty surgeon to discuss these issues and so you do not end up with an overdone nose .
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May 11, 2016
Answer: Hmm. I'll bet it's not the nasal spine. A nasal spine almost never, by itself, causes a tethered upper lip. It's almost always the tip cartilages that cause it, because the tip cartilages make the nose tip protrude strongly forward, away from the the face, and it's that forward protrusion of the tip that causes the tethering, like in the woman in the short attached video.I'll bet, if you send or post some profile views, we'll see that it's the tip protrusion that's causing the issue.If anyone grabs her nasal tip, and pulls it out farther forward away from the face, it'll cause the upper lip to tether.Also, you must be very observant, because it's almost always that the tethering is noticed in the *profile* view, not in the frontal views, as you have posted and commented on. You should understand that the changes required to reduce upper lip tethering require advanced techniques, techniques that most plastic surgeons cannot handle. Be sure to read the section in the "Web reference" link, just below my response, on how to stay out of trouble while searching for a rhinoplasty surgeon.Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish, so you know whether it's enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. Then, he must show you before and after photos to prove that he can accomplish what he draws on the computer.
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May 11, 2016
Answer: Hmm. I'll bet it's not the nasal spine. A nasal spine almost never, by itself, causes a tethered upper lip. It's almost always the tip cartilages that cause it, because the tip cartilages make the nose tip protrude strongly forward, away from the the face, and it's that forward protrusion of the tip that causes the tethering, like in the woman in the short attached video.I'll bet, if you send or post some profile views, we'll see that it's the tip protrusion that's causing the issue.If anyone grabs her nasal tip, and pulls it out farther forward away from the face, it'll cause the upper lip to tether.Also, you must be very observant, because it's almost always that the tethering is noticed in the *profile* view, not in the frontal views, as you have posted and commented on. You should understand that the changes required to reduce upper lip tethering require advanced techniques, techniques that most plastic surgeons cannot handle. Be sure to read the section in the "Web reference" link, just below my response, on how to stay out of trouble while searching for a rhinoplasty surgeon.Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish, so you know whether it's enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. Then, he must show you before and after photos to prove that he can accomplish what he draws on the computer.
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Answer: Protruding nasal spine It is difficult to judge by photos alone whether or not you are a candidate for nasal spine surgery. Any manipulation of the nose can affect your breathing as well as the appearance. You should consult with a board certified plastic surgeon who can help you determine the right course of treatment for you.
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Answer: Protruding nasal spine It is difficult to judge by photos alone whether or not you are a candidate for nasal spine surgery. Any manipulation of the nose can affect your breathing as well as the appearance. You should consult with a board certified plastic surgeon who can help you determine the right course of treatment for you.
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