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Steven M. Denenberg, M.D.
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Views of this rhinoplasty patient:

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In this view we see the excess width in the nose just at and below the level of his eyes.  That width was softened by moving his nasal bones closer to each other.

The very tip of his nose sticks out because the cartilage just above the tip has been pushed off to his left side.


next view of this patient

"When I look in the mirror,
I am in disbelief at how natural it looks ... "
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All views of this rhinoplasty patient:
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current: Left oblique
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Asymmetry & hanging columella. Interests: Tim Woolford, Julian De Silva, Julian Rowe Jones, Lucian Ion
I am 7 yrs post primary rhinoplasty. I was looking for my slight bump amd bulbous tip to be addressed. Immediately after my cast was removed 1 wk after my op, it was clear I had been left with an asymmetrical and hanging collumella (my natural nose did not have this). Its been 7 yrs & I'd like revision. My main concern is my hanging & aysemetric collumella, I feel my tip is bulbous in comparison to my thin bridge with large projection. I have very thick, oily skin with large pores on my nose.
(Questioner submitted photos)

Dr. Denenberg's answer: It's more than just the columella
Hi,
It's not just that the columella is hanging, because your columella protrudes downward only a millimeter or two down beyond your nostril edges.

It's that the entire tip of your nose is low, the nose is very long, and best would be to raise the tip, much more than just elevating the columella. 

You are correct that the tip is somewhat wide, too.

See the first patient in the attached video -- she has a nose with some similarities to yours.

Link to this question on RealSelf.com