Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, reconstruction #1

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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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All views of this rhinoplasty patient:

rhinoplasty current: Left oblique	rhinoplasty 2: Right profile	rhinoplasty 3: Right oblique

rhinoplasty 4: Left profile	rhinoplasty 5: Base	rhinoplasty 6: Frontal

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Questioner: My nose looks like it's cut in the middle, and looks like an extension?
From the picture you can tell that the surgeon made a mess. Looking at the picture, do you think a surgery is necessary?
(Questioner submitted photos)

Dr. Denenberg's answer: No fillers, please! But I believe improvements can be made.
Hi,

I know it's just one photo that you posted, but there are generally ways to improve the areas that you complain about in a revision rhinoplasty.

The "dents" can often be filled in with cartilage grafting, and they can be made further inconspicuous by lowering prominences of bone next to the dents.

Then, I don't know whether this bothers you, but the tip of your nose can be raised, too. Whenever a nose is a little smaller, the bothersome features often are less noticeable. I shortened your nose in my morph.

My guess is that the doctor who recommended fillers or fat grafting does not perform revision rhinoplasty. Respectfully, I just think that's not a good solution for what I see in your photo.

Link to this question on RealSelf.com


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