Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, reconstruction #6

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This nose was missing some of its middle section, along the dorsum. I reconstructed it by placing an artificial material in the depression.

There are many materials that can be used successfully to build up part of the nose. Some of the materials are natural (the patient's own bone or cartilage, stolen from another part of the body), and some are artificial. I generally prefer the artificial materials, at least today, for several reasons. One of the most important reasons is that a soft, artificial material can sit in the nose without showing a sharp edge or corner. Smoother materials can make the nose look more natural.

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All views of this rhinoplasty patient:

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

rhinoplasty 4: Right oblique	rhinoplasty 5: Frontal

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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Why is my Tip Still Droopy After Rhinoplasty?
I had closed rhinoplasty. If my tip was lifted, why does it still look the same as before? I'm frustrated... It just seems like the distance between my tip and upper lip is a bit different, but the tip is droopy and shaped droopy-like just like before. Why? was it the technique?
(Questioner submitted photos)

Dr. Denenberg's answer: It's certainly possible that you nose simply wasn't shortened in the previous operation
Hi. The photos you sent are sort of tiny, but they do show the relationship between the bottom of your nose and your upper lip, and it appears that the nose is still long. See my "Web reference" link for a morph I made of your nose, showing what it might look like if it were shortened.

Shortening a nose, in expert hands, is one of the more predictable changes to make in a nose, even in a revision, but it requires some complicated work on the tip cartilages. Still, no operation is 100% successful. You have a decision to make about using your same surgeon for a revision. If you feel that you selected him well, and you saw lots of his before and after photos, proving that he has shortened long noses for other patients and does excellent work in general, then take his advice about a revision to try again to shorten your nose.

However, if you did not see lots of before and after photos, and you suspect that he might not have been able to shorten your nose in the first place, then you should not have him revise your nose, because he is unlikely to succeed, and it can get you into more trouble.

Link to this question on RealSelf.com


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