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This patient is a perfect candidate for upper eyelid surgery for several
reasons. She has eyebrows that are nice and high (it's harder to get the
surgery right if the eyebrows are droopy). The excess skin on her upper
lids has caused a fold that hangs down on her lashes, preventing her from being
able to put eyeliner on her upper eyelids. And because of its excess, the
skin in her upper lids has become crinkly. Note the increased smoothness
of that crinkly upper eyelid skin in the after picture.
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Questioner:
Uneven nostrils after 2 rhinoplasties. What can be done?
After two rhinoplasty surgeries. my daughter's nostrils are uneven, and she is self conscious. Her nostrils were not uneven prior to rhinoplasties. To correct them, would she require a third rhinoplasty with general anesthesia? Would it be as hard a recovery? What can be done to fix them?
(Questioner submitted photos)
Dr. Denenberg's answer: Maybe, maybe, she could have a revision of only the columellar scar
In general, that view, the bottom view, is the least important view after a rhinoplasty (or before), because it's a view that people generally don't see. Achieving excellent symmetry in that view is unrealistic, and unnecessary.
Having said that, however, it seems that much of the asymmetry is caused by a bulge of scar tissue on her left side, at the location where perhaps the incision was made for an open rhinoplasty. Maybe revising that scar would help meaningfully, with no risk to the entire rest of her nose.
Link to this question on RealSelf.com
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