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
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.
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Question on Rhinoplasty? Bump on Bridge, Extreme Projection, Asymmetry?
I'm getting a wide range of opinions which Is confusing. Please look at my pics. I understand you can not correctly evaluate without an in person consult but opinions are greatly appreciated:-) I have never cared about my prominent nose until I got older losing volume and weight and the dreaded gravity has changed my appearance. I have a flat bridge which creates a bump. I have extreme projection and I have slight asymmetry hence crooked and getting worse as I age. short philtrum as well.
(Questioner submitted photos)
Dr. Denenberg's answer: You require expert tip work to make the changes you seek
The flat bridge is wide, and width turns into a hump when seen on the three-quarter view, which is why your nose has such a big hump on that view. It's the width of your nasal bones that cause the flatness, so your nasal bones need to be narrowed significantly.
The tip of your nose is far down, making the nose look long, and it is also strong in its forward projection from your face. Check the web link for a morph of your face, showing what could be achieved in a rhinoplasty. You need a surgeon who can prove to you with his before and after photos that he is expert in shortening and deprojecting noses, because it is work on the tip that accomplishes those two changes, and tip work is the most demanding part of a rhinoplasty.
Link to this question on RealSelf.com