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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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"...he is so comforting toward his patients
and really makes you feel important. "
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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: Am I a good candidate for finesse rhinoplasty?
I love how my nose looks from the front view. But, I feel like sometimes it just looks so masculine. I would ideally like a less austere nose, and one that has a more aesthetic bridge. . I do not wish to change a lot of my nose, but just tiny, tiny, tiny revision of it to be more appealing to me.
(Questioner submitted photos)

Dr. Denenberg's answer: You are a good candidate for rhinoplasty, but ...
you need to be very careful in selecting your surgeon and planning your operation with your surgeon. The top of your nose, where it begins, just below your eyebrows, is very strong. If that part of your nose is not reduced, but your small hump *is* reduced, your profile would resemble a Roman statue, where your profile line slides from your forehead right onto your nose with no break.

For an illustration, see the video link, which has a simulation of how I see changing your nose. As the simulation moves from "before" to "after," note, at the level of the arrow, how I reduced that upper part of your nose. The other small changes to the nose were reducing the bump, narrowing and elevating the tip a tiny amount, and bringing the entire nose a tiny amount closer to your face.

Many plastic surgeons consider lowering that top part of the nose to be impossible, or they don't know how, but in many noses, it's a crucial part of the planning and execution of an excellent rhinoplasty.

Link to this question on RealSelf.com