What can be done about "cut" looking nose? (photo)

Question

Why does my nose look horizontally cut in a way that makes my philtrum appear large and my nose unappealing? Are there any procedures that can fix this?

Andrew Miller, MD · Answer

Based on your appearance, you are a great candidate for rhinoplasty. You retracted columella can be brought down and the tip refined so it's thinner, all while keeping it looking natural. Be sure to see a rhinoplasty expert for consultation.

Semih Yildiz, MD, FEBOPRAS · Answer

In the frontal photo, the columella is minimally visible and the alar base forms a relatively straight horizontal line, which can make the philtrum seem more prominent. A photograph alone cannot determine whether this comes from a short or retracted columella, caudal septal position, tip rotation, or normal anatomy.

A rhinoplasty examination with true base and profile views is needed. If the finding is structural, options can include a columellar strut or caudal septal extension graft, sometimes combined with alar rim support, to improve the base contour. The plan must be conservative because excessive lowering can change nostril shape and upper-lip balance.

Selcuk Inanli, MD · Answer

Hello!Thank you for your question.
As far as I can understand from your question We can make a more accurate assessment if you can send us your photos in good light at 95 degree angles from the front and side profile.
It would be better face to face consultation.
Best Regards!

Eric M. Joseph, MD · Answer

Based on your limited photo, you appear to have wideness of the lower 1/3 of your nose, and this is associated with an over shortened nasal appearance and a retracted Columella. Consider meeting with several reputable rhinoplasty specialist so you could see what to expect after surgery. I hope this helps. Sincerely, Dr Joseph

Gary M. Horndeski, MD · Answer

Your nose looks very horizontal.  Unfortunately, you have not provided additional photographs.  Your columella is not showing.  You would benefit from a rhinoplasty.

Best Wishes,

Gary Horndeski, M.D.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a columellar onlay graft as part of your rhinoplasty. This will likely solve the issue you are describing. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thomas Spalla, MD · Answer

The picture of the nose reveals a retracted columella. 
Consult with an experienced rhinoplasty surgeon to get a thorough internal examination of the inside of your nose to assess the septum along with the external cartilages of the nose. 
Correction will require surgery for a permanent correction. I would advise against someone attempting fillers to correct this. Cartilage repositioning and grafting should correct this for you.

What can be done about "cut" looking nose? (photo)

Answers (7)

More Rhinoplasty Questions

What procedures will help with achieving a more feminized face? (Photos)

Going to a doctor with limited or no ethnic rhinoplasty experience - is this a good idea?

How much can my nose be fixed? 6 years after being punched.

Would I be a good candidate for a tip plasty? (photo)

23 y/o female interested in rhinoseptoplasty for a crooked nose. Is this too crooked to fix? (photo)

Do all rhinoplasty surgeries generally cost around the same with the same doctor?

WE SEND PRETTY
EMAILS