The frontal view is always the hardest to evaluate, but we'll try. Look
at the two white dots in the tip of the nose. They are reflections from
the flashes, just as there are two white dots in each of her eyes. Now
compare the position of those dots with the position of her nostrils in the
before and after photos. You'll find that the dots are higher in the after
picture, indicating that I succeeded in elevating the tip of her nose.
It's harder to tell what was done to the dorsum from this view, but check
out the two vertical parallel white stripes in the dorsum in her after
picture. They are more even and uniform than the stripes in her before
picture, indicating that her dorsum was narrowed and straightened. See
what you can tell if you know what clues to look for?
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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
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