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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).


next view of this patient

"...he is straight forward with you
and will let you know what results
he thinks are realistic. "
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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: What is the purpose of massaging nose after rhinoplasty? Do I need to do it if nose is uneven in swelling?
I went to my doctor and forgot to ask him about the unevenness in the swelling of my nose after my rhinoplasty. Since bandage removal post op to now, 7 weeks post op, the right side of nose is still more swollen than the left, and its always been like that. I head about massaging the nose on this website, should I do it? Do some doctors say its mandatory or is it just a recomendation always to help reduce swelling?t I'm just paranoid about my constant uneven swelling on my right side of my nose.
(Questioner submitted photos)

Dr. Denenberg's answer: Don't massage your nose
Hi,
I know doctors disagree about this, but I'll give you my 2 cents. Don't massage the nose. The doctor put the cartilages and bones in a certain position, and you want them to stay where they were put. Don't push them around by massaging the nose. It won't do anything to decrease the swelling or speed up the maturation of the scar tissue.

It can't help, and it might hurt.

Link to this question on RealSelf.com