Q: My philtrum and upper lip looks too short for my face. My septum might be too short too that my columella is hanging too high. To achieve my desired shape of my upper lip, I would have to pull my columella down, which effectively pushes my upper lip downward. Is there any solution to this? I want the shape of my upper lip to be like the shape of it when I’m pulling my columella down. Also, my nose is too wide and bulby. Can that too be corrected all at once?
A: A cartilage graft called a septal extension graft can help to push down your columella like you are demonstrating with your fingers. When designed correctly it can help to balance the look of your upper lip. Reducing the width and bulbosity of your nose can easily be addressed during rhinoplasty. You can expect the best, most natural results with a surgeon who specializes in Asian rhinoplasty.