Question: I had rhinoplasty about ten years ago. My nose does not seem to have aged well and I don’t know if it is the previous nose job or just aging. The tip of my nose overhangs more than it used to. I would like the nose shortened just a bit and the tip brought up. Can the nose be shortened without leaving a scar?
Answer: Any incision will leave a scar. The goal of the facial plastic surgeon is to make sure that the scar is inconspicuous or concealed so that it is not visible. Depending on what needs to be done, the procedure can be done with a closed approach with no external scar. It will be very minimal. There will be no visible scars even if an incision needs to be made on the columella with the “open approach” as quite often this heals in an excellent position and the nose will look very good.