Pay attention to the white dots on the tip of the nose and to the more subtle
highlights on the nose in between her eyes. Those dots and highlights are
reflections from the flash. The white dots on the tip are
just a bit higher in position in the after picture, indicating that the tip of the nose was
elevated during surgery.
In the after picture, the white highlights on her nose between her eyes flow
down onto the nose a small distance, allowing you to see that her nose is narrow
in the mid-dorsum. In the before picture, you see less of those
highlights flowing down the nose, because the before nose is wider and less
The base view of her nose, view 9,
also illustrates the narrowing of her nose quite well.
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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