The irregularity in her nose makes it look too short in the before
picture. By building up the nose, it appears to have a more substantial
length, even though I didn't change the position of the tip. This is an
interesting illusion relating the apparent length of the nose to the height of
the dorsum: the higher the dorsum sits, the longer the nose appears to be.
Similarly, if a patient has a long nose that I can't get quite as short as I
would like, carving down the dorsum a teeny bit more can make the nose look a
teeny bit shorter.
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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