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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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This young woman's nose appeared to sit too close to her face.  She had inadequate projection.  The goal of her operation was to bring the tip of her nose farther out from her face.

Her nose has some of the appearance of a cleft lip nose, but her lip is perfect: she was injured in a jungle gym accident.  The nose is reminiscent of a cleft lip nose because persons with that congenital deformity often have an associated deformity of the nasal tip cartilages that causes the tip of the nose to sit too close to the face.

The rhinoplasty surgery tutorial contains a chapter that discusses the importance of tip projection and how it is maintained or created surgically (the surgery tutorials contain explicit photographs taken during surgery).


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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: I 100% Have a Pollybeak Def from Going on 4 Rhinoplastys, Should I Go Through with the 4th?
first rhinoplasty almost 2 years ago now, the results were horrible & my nose looked twice the size as it naturally did. Since then my surgeon suggested another 2 closed rhinplasty to fix that and a twisted look from not enough taken off one side of my bridge. Since the 3rd still very unhappy, I have a pollybeak he says and is now soon booking me for an OPEN rhinoplasty which i am worried about because I dont want my nose to collapse or anything and he said nothing about grafting, what to do, help
(Questioner submitted photos)

Dr. Denenberg's answer: A reasonable revision operation might help your nose significantly.
I'm sorry to hear about your experiences.  It could be possible to make improvements in your nose. If the bridge of your nose can be built up just a small amount, and the polly beak taken down just a small amount, it can make a huge difference in how natural your nose looks. Click on the Web reference link to see a digital modification that I made of your nose.
You should not have the same doctor operate. Revision rhinoplasty is extremely difficult operation, and your surgeon has probably proven satisfactorily that he might not be up to this job.  Also, you must have realistic expectations. It's too late to end up with a stunning gorgeous nose -- you should be seeking a nose that looks natural and does not draw attention, and then leave it alone forever!

Link to this question on RealSelf.com



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