Would I Benefit From Paranasal Implants?

Q: Dr. Eppley, I’m wondering if I would benefit from paranasal implants with an additional nasal spine implant and if I should combine it with a rhinoplasty. I have some hollowing in my midface and a very small columella I understand paranasal implants would only push the nasal base forward and not the tip and I’m not sure if getting these implants without nasal tip augmentation would look unnatural and cause a very squat looking nose

A:I don’t find your columella or tip projection to be that short given the ethnic nature of your nose compared to many others. The value of having a premaxillary extension (2 – 3 mm) as part of the paranasal augmentation is that it provides a overall better overall nasal base projection with more complete pyriform aperture coverage. The goal is not to significantly open up the nasolabial angle or increase tip projection. In your rhinoplasty you will require some tip grafting for refinement and a modest amount of tip lengthening which will be synergistic with your hump reduction.

Dr. Barry Eppley

Plastic Surgeon