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I have never been entirely happy with the results, I feel that my columella hangs now with too much nostril show.

Your questions answered by our surgeon, Lucian Ion, FRCS(Plast)

Asked on 03 September 2013


I had primary rhinoplasty in 2009 to reduce a nasal hump and refine the tip with open rhinoplasty.

I have never been entirely happy with the results. I feel that my columella hangs now with too much nostril show, I also feel that the tip projects too far from my face.

I have been told by my previous surgeon that there was no more he could do but I would appreciate a second opinion. This is something that bugs me every day and I would just like to know if I just have to live with it or whether something can be done. I would also consider chin implant if it would help with the tip projection.


I would be happy to see you in consultation and evaluate using computer imaging and simulation what it is that you feel would represent a good end result and based on that to discuss feasibility and technical aspects related to a possible intervention.

There is no doubt that between computer simulations and the surgical outcome there are always differences, but clarity regarding the design endpoint provides a more structured basis for the decision regarding further surgery.

With regards to the chin augmentation, I tend to carry out the imaging in 3-D, and this can also be done to integrate the potential reshaping aspects for the nose.

Lucian Ion Cosmetic Surgeon Mr Lucian Ion FRCS(Plast)
129 Harley Street

Get in touch. Talk to our helpful team or book a consultation with Mr Lucian Ion. Call 0207 486 7757

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