Removing columella strut to achieve less nostril show and a gull wing tip lobule? (photos)

Based on your photos, you appear to have an improved nasal profile appearance that is not feminine. On front view, you appear to have excessive nostril show. In our experience, one of the most reliable ways of lowering nostril margins is with microdroplet Silikon-1000 nasal injections. This may preclude further nasal surgery. I hope this helps. Sincerely, Dr Joseph

Hello and thank you for your question. Based on your photographs, you may benefit from a revision in order to de-rotate your tip and give you less nostril exposure. This can be accomplished by releasing the scar tissue and placing extended spreader grafts. This will derotate the tip and have less nostril exposure. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

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