Along the dorsum, you can see parallel vertical white lines that are the reflections of the
flashes. The linear reflections are prominent, and a bit crooked; they softened and
straightened after the hump was removed.
Look at the tip of her nose. In the after picture, there are two white
dots, also reflections from the flashes. The white dots are small and symmetric, closer
together than in the before picture, more distinct than in the before picture,
and positioned higher above the nostrils than in the before picture. Those
findings are our indications that the tip of the nose was narrowed and elevated
during the operation. Also, we get to see just a little bit more of her
nostrils after surgery, another indication that the tip of the nose was
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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
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