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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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Questioner: What's the best treatment for my mom? She wants to look younger, and has already had a rhinoplasty
This my mom she did a rhinoplasty before years ago and she doesn't feel good about her face and nose. Does she need a revison rhinoplasty? And does she need a face left..her doctor said she is too early for face left. She hates her face and i want her to feel good about her self what does she need to feel younger and prettier?
(Questioner submitted photos)

Dr. Denenberg's answer: Your mom could look better -- and younger -- with a revision rhinoplasty
Hi.
Your mom's rhinoplasty left her with a very long nose, and a long nose makes a face look older. Making a substantial elevation of the tip of the nose, even in a revision, is quite predictable, but only in the most expert of hands, so you must see before and after photos of a doctor's revision work in shortening noses before you hire a doctor.

Her nose could also be thinner, and the tip made less prominent from the front. See the attached video and the Web reference link for examples of what can be accomplished.

I tend to agree that it's hard to make a meaningful improvement in the face when the skin is still so thick and strong and smooth, and the neck line is so good. If I were your mom, I'd address the nose, and wait on the face!

Link to this question on RealSelf.com