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Steven M. Denenberg, M.D.
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Views of this rhinoplasty patient:

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The base view is often the best view to illustrate a sideways deflection of the nose.  If you were to put your finger on his nose where it starts between his eyes and run your finger down the length of his nose, your finger would be quite far off to his left by the time you got to the tip.

The broken cartilages that are dragging his dorsum off to the left also drag the base of his nose and his nostrils off to the left in the before picture.


next view of this patient

"...all the way to Omaha from Norway ... "
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All views of this rhinoplasty patient:
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current: Base
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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: I'm 17 and 4 months post rhinoplasty. My nose hasn't changed. Will I need more surgery?
I just want to ask u about my nose and my chin !! Do I need to do my nose next year ? And do I need a chin injection or a silicon ? I really don't like my nose I wanted to shorter !!
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, unfortunately it looks like you'll need more surgery
Your nose is very long, and there's still the hump on the bridge. Although your nose will continue to change some, most of the changes have already happened, and the tip of your nose will not rise with further healing. 

Making a significant elevation of the tip of the nose involves advanced techniques on the tip cartilages, and most plastic surgeons can't handle it adequately, especially in a revision. Before you select your doctor, you must see before and after revision photos to see if he can make changes like that. See the attached video and Web reference link for an example.

I love the example nose that you submitted, too. Seems to me that you require a rather dramatic elevation of the tip of your nose, and a take-down of the hump, among other less obvious changes.

Link to this question on RealSelf.com