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The fat underneath the skin of the neck was removed, and the skin was
repositioned up and back. If a patient is only 30 to 40 years old, I can
sometimes perform only a liposuction under the chin, without the face lift. However, if the skin has lost some of its elasticity,
removing only the excess fat won't help, because the skin won't
"shrink-wrap" to the neck after the fat removal; it will hang loosely,
and the appearance might be worse than if nothing had been done.
The combination of removing the fat and repositioning the skin is our best
bet in patients older than about 45 years of age.
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Questioner:
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
Hi,
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
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