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Steven M. Denenberg, M.D.
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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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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: Would I be a good candidate for fillers or would surgery be a better choice?
I've always thought I have a big weirdly shaped nose. I don't like the hump on my bridge and how long my nose tip is. I've been considering surgery for a while now but I recently heard about a cheaper alternative, using fillers. And if I should get fillers, where? If surgery is better, what exactly should I change?
(Questioner submitted photos)

Dr. Denenberg's answer: Fillers would ruin your nose
Here are the changes I would make to your nose: bring the tip back closer to your face, elevate the tip up a small amount, take down the gentle bump along the bridge, narrow the tip. All of these changes would move your nose in the direction of smaller.

Filler will make your nose bigger wherever it is placed. It's exactly what you don't need.

Also, the changes recommend are difficult, and not every surgeon can accomplish them. You need to see your doctor's before and after photos, because that's the only evidence you have that he has the skill. The diplomas and certifications tell you nothing.

Hope this helps!

Link to this question on RealSelf.com