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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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.


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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: Cost Approximation for Uneven Columella?
On the left (my right) you can see that the one side of my columella hangs approximately 3 millimeters lower than the other. I would like to even out my columella (raise the lower side to the higher). How much would this cost and how long I would need to wear bandages on my nose? Also, to even the columella out, would I need to cut off part of the columella or push the lower side higher? Explaining how one would go about this procedure would be very helpful! Thank you so much!
(Questioner submitted photos)

Dr. Denenberg's answer: Leave your columella alone
What you are asking for cannot be done with rhinoplasty. An attempt at a tiny correction of an isolated area of the nose like that would certainly create some new, more bothersome, problem elsewhere, or fundamentally change the size/shape/position of your tip.  All of these cartilages are connected to each other. 

Rhinoplasty isn't perfect enough, predictable enough, to make the kind of change that you are seeking.  I know, it'd be nice, but we just don't have it yet!

Link to this question on RealSelf.com



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