Question: Can nose columella be raised using closed rhinoplasty? Is it an easy fix?
Answer: The photographs demonstrate hanging columella with a scar present from the previous open rhinoplasty. A closed rhinoplasty approach can accomplish reduction of the hanging columella by removal of excess skin and cartilage from that area with incisions placed completely on the inside of the nose. This will help camouflage the obvious open rhinoplasty scar that is present. For many examples, please see the link and the video below.

Question: Would my nasal bones need to be broken to correct my crooked nose?
Answer: Osteotomies placed in the nasal bones are required when the Nasal bones are crooked, as demonstrated in the second photograph. A cartilaginous spreader graft will be required to be placed underneath the concave upper- lateral cartilage in the mid portio of the nose. Conservative cartilage removal/ Cartilage grafting may be required in the nasal tip to make sure that tip itself is symmetric matching the rest of the nose. A septoplasty is performed in the back of the nose to improve airflow dynamics, does not change the shape of the nose.

Question: I just want cosmetic improvements. Septoplasty vs Rhinoplasty?
Answer: A Septoplasty is performed in the back of the nose to improve airflow dynamics, and does not change the outside appearance of the nose. To straighten the Crooked nose requires a closed rhinoplasty. This involves strengthening the nasal bones and upper lateral cartilages with osteotomies and a spreader graft placed on the concave side. The dorsal hump can also be shaved down as well and the tip refined slightly. All incisions are placed on the inside the nose. No external incisions are required. Digital computer imaging be helpful to understand what can be accomplished with your nose upon your facial features.

Question: What should I fix to achieve a more feminine/refined nose through rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish straightening the nose, refining the nasal tip, shaving down the dorsal hump, and reducing the hanging columella with all the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging would be helpful to understand what can become with your nose on your facial features.

Question: Is chin liposuction generally done in office with a local anesthesia and no sedation?
Answer: Much more information is needed, such as your age and the status of the skintone in your neck. The skintone in the neck will be the determining factor as to which procedure will need to be performed. From the very limited photographs, there’s a significant amount of fat above and below the platysma muscle in the neck. Liposuction can accomplish some improvement of the fatty deposits above the Platysma muscle, however a surgical neck lift is required to remove the fat deposits below the muscle in addition to a platysma-plasty. kid this skin tone of the neck is poor, and you’re over 50 years of age, then a lower face and neck lift will need to be performed under general anesthesia. A Standalone neck lift is performed under general anesthesia, while simple liposuction can be performed under local anesthesia.

Question: Do I need a revision rhinoplasty for bump in the middle of my nose?
Answer: The limited photographs do demonstrate residual dorsal hump. Best to wait at least 10 to 12 months before undergoing another revision to allow full healing to occur before embarking on another procedure. In the meantime, best to follow up with your operative surgeon, if possible.

Question: Do I need an alar base reduction?
Answer: When making the decision to perform an alar base reduction, a frontal photograph is required to determine the width of the nostrils. From the limited side photographs, there appears to be a hanging columella, which can be addressed with a closed rhinoplasty approach with all the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Why is my nose wider post rhinoplasty and will rasping be enough?
Answer: Much more information is needed such as a copy of your operative report to find out what was accomplished during the primary rhinoplasty procedure. Rasping the dorsum of the nose will only address some minor irregularities along the bridge line. Rasping bridge line will not reduce the width of the nose. We perform most of these touch-up procedures and brief general anesthesia for patient safety and comfort.

Question: Is my nose too short for my face post Rhinoplasty?
Answer: The noses of three-dimensional structure, so a full set of before and after photographs from all angles are required to make a determination about your results. It’s also important to wait at least one year to allow full healing to occur before embarking on another procedure.

Question: Are chin length and lip size factors in determining how a nose is shaped during rhinoplasty?
Answer: When performing a rhinoplasty procedure, all the components of the nose must be balanced with themselves, and the entire new nose must balance with patient’s facial features. The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. Choose your surgeon wisely based upon extensive experience.