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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).


next view of this patient

"...extreme skill and experience was evident. "
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All views of this rhinoplasty patient:
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current: Left oblique
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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 Can Be Done to Improve my Nose ?
I have always hated my nose, im a very pretty girl and my nose just takes away from it. My nose is uneven, there's a dent right in the middle of the tip of my nose and I don't remember when it got there or how but I didn't have it last year. And i hate my projection. I want my nose to be in line with my lips, Can you please tell me what can be done to correct this news of a nose ? What expectations are realistic ?
(Questioner submitted photos)

Dr. Denenberg's answer: Narrow the tip, deproject (slightly), fill in the dent
It seems to me that one of the main issues of your nose is the width of the tip. That's related, of course, to the strength of the two cartilages that form your tip, and the space between those two cartilages can show up as a dent if the cartilages are strong. See my "Web reference" link for a morph and an animation showing how your nose might look after surgery.

In the morph, I also brought the tip of your nose back toward your face. You didn't provide an exact profile view, which view shows the projection best, but from the three-quarter, it seems that some of the strength of projection might be related to the width of the tip, which can *look* like excess projection on that three-quarter view. I think the morph might make that clearer.

When looking for a plastic surgeon, you need to see before and after photos of tip work, because that's the hardest part of the operation. At least I think so!

Link to this question on RealSelf.com



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