This nose was missing some of its middle section, along the dorsum.
I reconstructed it by placing an artificial material in the
There are many materials that can be used successfully to build up part of
the nose. Some of the materials are natural (the patient's own bone or
cartilage, stolen from another part of the body), and some are artificial.
I generally prefer the artificial materials, at least today, for several
reasons. One of the most important reasons is that a soft, artificial
material can sit in the nose without showing a sharp edge or corner.
Smoother materials can make the nose look more natural.
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Cost Approximation for Uneven Columella?
On the left (my right) you can see that the one side of my columella hangs approximately 3 millimeters lower than the other. I would like to even out my columella (raise the lower side to the higher). How much would this cost and how long I would need to wear bandages on my nose? Also, to even the columella out, would I need to cut off part of the columella or push the lower side higher? Explaining how one would go about this procedure would be very helpful! Thank you so much!
(Questioner submitted photos)
Dr. Denenberg's answer: Leave your columella alone
What you are asking for cannot be done with rhinoplasty. An attempt at a tiny correction of an isolated area of the nose like that would certainly create some new, more bothersome, problem elsewhere, or fundamentally change the size/shape/position of your tip. All of these cartilages are connected to each other.
Rhinoplasty isn't perfect enough, predictable enough, to make the kind of change that you are seeking. I know, it'd be nice, but we just don't have it yet!
Link to this question on RealSelf.com