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433 N Camden Dr | Beverly Hills, CA 90210
Tip and bridge narrowed using custom grafts. Nostrils refined and made more symmetric.
Large hump reduction with droopy tip elevation. Tip reshaped completely but with natural result.
Dramatic tip and nasal lengthening and refinement. Diced cartilage fascia graft used to augment bridge. Natural results from major structural changes.
Dynamic tip elevation and refinement along with major bridge reduction and de-projection. Nose is now well balanced with face.
Hanging, bulbous nasal tip, large hump on bridge and long appearing nose. Bridge reduced while refining and balancing the tip shape to match.
Hooked Hispanic nose with droopy nasal tip and large dorsal hump on bridge corrected and reshaped with natural refinement techniques.
The columella is the skin and cartilage bridge in between the nostrils. It divides the nostrils into right and left sides. It can be wide, flared at the bottom, hanging, or retracted. It is important to not ignore this area when aesthetically shaping the nose. In addition, if there is septal deviation or if the internal nose is crooked, then the columella can look crooked and would need to be straightened as well.
Columellar retraction or a retracted columella can mean that the skin is pulled up into the nostrils and appear hidden on front and profile view. In this situation the entire nose can look too short for the face. The septum and columella will need to be lengthened in this situation with cartilage grafts and repositioning.
The opposite situation is when the columella is hanging, known as a plunging or hanging columella. Dr. Ghavami will likely suggest trimming and lifting of the cartilage with possible skin reduction in this area. The goal is to improve the relationship between the columella and the alar area (nostrils). By re-shaping the columella, the nose can appear in balance from all views and be in harmony with the rest of the nasal and facial architecture.