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The frontal view shows the narrowing of the wide area where her hump was, and
the elevation of the tip of her nose after surgery. We can see a glimpse
of her nostrils in the after picture; they were hidden in the before picture by
her drooping tip.
One way to evaluate the shortening of the nose from the frontal view is to
pay attention to the two white dots on the tip of the nose. Those white
dots are reflections from the flashes. Compare the white dots' positions
in the two photos above.
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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
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