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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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She has a prominent bifidity in her columella.  "Bifidity" means that you can see a dent between the two cartilages that make up the columella.  It's not such an uncommon finding.  She probably had it before her first operation, and it simply wasn't corrected during that first procedure.

In this view, you can see more of her nostrils in the before picture.  The nose was tilted up too much, and I attempted to lengthen it during the revision.  A longer nose shows less nostril from the frontal view.


next view of this patient

"...his results are consistent and incredible. "
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All views of this rhinoplasty patient:
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current: Frontal
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: 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