It's harder to tell what happened from the front view, but perhaps you can
see that the tip of his nose doesn't stand out as an isolated feature in the
after picture. The after photo doesn't show as much of a shadow just above
the tip of the nose.
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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