• Rhinoplasty
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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Views of this rhinoplasty patient:

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The frontal view shows us that the nose was shortened a bit as well.  We can see a touch more of her nostrils in the after view.  She also has a subtle finding in the tip of her nose.  The two white dots on the tip, which are the reflections of the flash, are rounder in the after picture, and more oblong in the before picture.  That change often happens when strong tip cartilages with strong curves are made less prominent during surgery, creating a smaller, rounder tip.


next view of this patient

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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: 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