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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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The irregularity in her nose makes it look too short in the before picture.  By building up the nose, it appears to have a more substantial length, even though I didn't change the position of the tip.  This is an interesting illusion relating the apparent length of the nose to the height of the dorsum: the higher the dorsum sits, the longer the nose appears to be.

Similarly, if a patient has a long nose that I can't get quite as short as I would like, carving down the dorsum a teeny bit more can make the nose look a teeny bit shorter.


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"...I am so thrilled with the results! "
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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: From a ridiculous extreme long/upward nose, to the other extreme ridiculous long/downward/wide nose
My 3d nose revision...devastated! (At same time: face, neck & lip lifts, fine!). See pre/post op photos plus 2 nose models I gave to surgeon as guidance. But nose is now much longer, wider, downward...Will it look like the nose models after swelling is gone? Doubt it. Wait a year to fix it? No! I’m desperate...Is there somewhere a competent surgeon who can do a shorter nose like my nose models? (I’m 87 but absolutely healthy). Thanks ever so much for your opinions!
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose won't shorten as the swelling subsides
Hi,
Sorry, but it's just vanishingly unlikely that your nose will shorten as the swelling subsides, and certainly it won't shorten to the length of the models' photographs that you submitted.

The good news is that, with correct techniques, it is possible to shorten a nose substantially, even in a revision procedure. The bad news is that you can't jump in and have that operation right away. It may not be necessary to wait an entire year, but the nose needs at least many months to heal first.

Link to this question on RealSelf.com



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