Columellar show is when the columella hangs down so that we see too much
of it from the profile view. We do want to see a couple of millimeters of
columella, but perhaps just not as much as she was showing on her before
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Is It Worth Getting my Rhinoplasty? Because I Think my Front Looks Good.
how should it change?
(Questioner submitted photos)
Dr. Denenberg's answer: Often the frontal view changes little in a rhinoplasty
When most of your complaints result from a strong profile view, it's possible to improve that profile while making only tiny changes to the frontal view. See my "Web reference" link for a morph showing how your profile could be changed and some other important info. I brought the tip of your nose back closer to your face, took down the hump, and raised the tip a small amount.
These changes would only affect the frontal view by perhaps having the nose not droop down over your lip quite so much. It makes sense: you can't really tell from the frontal view how big someone's hump is, so it's the profile view that changes more.
Link to this question on RealSelf.com