• Rhinoplasty
  • Other noses:
rhinoplasty FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
rhinoplasty
 
Views of this rhinoplasty patient:

Image size is small
show larger

Two cartilages form the tip of the nose, a left tip cartilage and a right cartilage.  In the before picture, you can see the depression, or dent, between her two tip cartilages.  They are quite prominent, and decreasing their strength was an integral part of obtaining this result.

If you don't mind looking at photos taken during surgery, the first chapter of the rhinoplasty surgery tutorial gives a good introduction to the anatomy of the tip cartilages,


next view of this patient

"...he and his staff are very accessible
with any and all questions. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this rhinoplasty patient:
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
current: Right oblique
rhinoplasty

Go here to learn how to send your photos to Dr. Denenberg,
or to arrange a personal consultation.


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: Unhappy with Nasal Tip After Rhinoplasty? Will Secondary Revision Cost?
I had rhinoplasty in 2012 and was dissatisfied with the nasal tip. I noticed a few months after surgery the deformed tip, spoke with the surgeon and he said it was still healing. Well, it's a year and a half later and I am still unhappy with the results. From the front of the face you can see where the nose looks slightly crooked. The tip slants to the right of the face, making it somehow look larger from the side view on the left. I have attached pictures if you want to look.
(Questioner submitted photos)

Dr. Denenberg's answer: More work on the tip of your nose would make a big difference
Hi. The problem is not so much the asymmetry. It's that inadequate work was done on the tip of your nose. The tip of your nose is drooping down, and it projects strongly forward off of your face. See my "Web reference" link for a morph showing what your nose could look like with a revision rhinoplasty. In the morph, I brought your nose back toward your face, raised the tip, so it doesn't look so long, and I also tucked up the columella, which is the little piece of skin that separates the left nostril from the right nostril.

Small asymmetries are difficult to correct, but often, when a nose is deprojected, which means brought back closer to the face, some of the asymmetries go away, because asymmetries are frequently more noticeable when the nose projects strongly.

In selecting a surgeon, you need to see before and after photos of his work in revision rhinoplasty, and especially work on the tip of the nose. Tip work is the hardest part of the rhinoplasty operation to teach and to learn, and many doctors don't do it well enough.

The good news for you is that, in capable hands, deprojecting and elevating the tip of the nose are two of the most predictable parts of a revision operation.

Link to this question on RealSelf.com