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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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A hump like this draws your attention when you look at her face, keeping you from seeing her other attractive features.  In the after picture, the nose blends in much better with her other facial features.

When you take a large hump off of a nose, it  can make the nose look longer, even if nothing was done to change the nasal length.  For that reason, it's important to make a small elevation of the position of the tip when removing a large hump.


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current: Right oblique
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Is it common after Rhinoplasty the tip of nose to drop?
I got rhinoplasty 3 months ago and 3 weeks post op the tip of my nose dropped loads and is getting worse and which is giving me my bump back again, I'm ment to be getting revision on it but people have went and have got worse so I'm worried, is it normal for it to drop or is there something the surgeons not done right?
(Questioner submitted photos)

Dr. Denenberg's answer: Uh oh, I'd be worried, too.
It's true that three weeks is very early for healing of a nose, but in the next many months, most of the changes have to do with decreasing width: the tip getting smaller, the bridge getting narrower. However, in my experience, if the *length* of the nose is the problem, the length does not shrink as the swelling subsides. The tip does not climb up. In fact, we typically expect a tip to drop with time, so, for example, I'm not unhappy if my patients are nervous because the nose looks *too short* at first, because I know the nose will lengthen a little bit with time.

Still, there's nothing to do right now but wait, and as the water leaves your nose and the overall nose gets smaller, the length may bother you less.

However, one of the most common problems that I see in my revision patients is that the previous surgeon did not shorten the nose enough. It's not easy to do, and most doctors can't get it accomplished well. If you do wind up looking for a revision later, be certain that you've seen before and after photos that show excellent shortening of the nose.

Link to this question on RealSelf.com



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