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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What is Wrong? What Should I Do Next? Revision Rhinoplasty 21 Months Ago?
My initial operation left me being unable to breathe through my left nostril. My nose looks ok from profile but facing on, very wide and a small piece of cartilage??is poking out mid bridge on the right side! Should my nose be this wide after grafts? Initially my nose was slim with a bump. I would be grateful for some advice. Thankyou
(Questioner submitted photos)
Dr. Denenberg's answer: That bump can be removed, and your nose might benefit from a profile adjustment, too
I see the areas that you complain of. If you have grafts in the nose, and it is hard cartilage that is causing the bump on the right side and the excess width, it can be predictable to narrow the nose by removing or adjusting the offending graft. You probably also have some scar tissue under the skin that could be trimmed. See the Web reference link for a digital modification of your photo showing the improvements.
I personally think your profile could be made more natural as well. The tip of your nose is projecting forward, beyond the line described by the bridge of your nose. I'd like to see the tip of your nose closer to your face, and the very bottom of the nose tucked up a small amount to decrease the amount of the inside of your nose that is visible from the side view. I made a modification of that view as well. Bringing the tip of the nose back closer to the face is one of the most predictable changes in revision rhinoplasty, in competent hands.
Link to this question on RealSelf.com