Do you need parasnasal implants in order to get the effect of pulling your columella forward?

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can you explain columella forward?
 
Like pulling the part between your nostrils forward a little making the tip stick out more
eppley does paranasal augmention with diced rib cartilage. might give a try before implants
 
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eppley does paranasal augmention with diced rib cartilage. might give a try before implants

Can you provide some more detail on this procedure? any photos of results from past patients?
 
You don't need it.
 

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