She doesn't really have a ball on the end of her nose, even if that's the
cliché. The cartilages that form the tip of her nose are wide, and they
overlap each other, giving the impression of a ball.
A wide tip will appear to be a bulge on an oblique view of the nose. If
you put your finger on her nose where it begins, next to the inner corner of her
left eye, and run your finger down the edge of her nose, your finger will have
to bump out to your right as it follows the bulge around the tip of her nose in
this view. In the after picture, with a narrower tip, that bulge is gone,
and your finger would trace a straight line from where her nose begins down to
Now clean off your computer screen.
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Uneven nostrils after 2 rhinoplasties. What can be done?
After two rhinoplasty surgeries. my daughter's nostrils are uneven, and she is self conscious. Her nostrils were not uneven prior to rhinoplasties. To correct them, would she require a third rhinoplasty with general anesthesia? Would it be as hard a recovery? What can be done to fix them?
(Questioner submitted photos)
Dr. Denenberg's answer: Maybe, maybe, she could have a revision of only the columellar scar
In general, that view, the bottom view, is the least important view after a rhinoplasty (or before), because it's a view that people generally don't see. Achieving excellent symmetry in that view is unrealistic, and unnecessary.
Having said that, however, it seems that much of the asymmetry is caused by a bulge of scar tissue on her left side, at the location where perhaps the incision was made for an open rhinoplasty. Maybe revising that scar would help meaningfully, with no risk to the entire rest of her nose.
Link to this question on RealSelf.com