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I removed a small hump along her dorsum while shortening the nose and
narrowing the tip. Look at the white dot on HER right side of the tip of
the nose in the after picture. That dot is a reflection from the
flash. In the before picture, the dot is a wider splotch of
white. Clues like that are what help your eye evaluate the width of the
tip cartilages in photos such as these.
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Questioner:
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
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