• 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 large
show smaller

In the before picture, you can see some white marks in the middle of her dorsum that are reflections from the flash, right where the hump was.  The marks are crooked, indicating that her nose was a little crooked in that area before surgery.  I mentioned in the section on nasal reconstruction that correcting a crooked nose is one of the hardest changes to make in rhinoplasty.  However, if the crooked area is small, and if it's on the hump, sometimes simply removing the hump removes the crookedness entirely.

We also know that her nose was shortened somewhat during her rhinoplasty, because we get a better view of her nostrils in the after picture.


next view of this patient

"...extreme skill and experience was evident. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this rhinoplasty patient:
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
rhinoplasty
current: Frontal
rhinoplasty
rhinoplasty
rhinoplasty
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: Shall I consider a revision? Wide & asymmetrical nose by the front and tip is sticking out. 6 months Rhinoplasty post-op.
I got Closed Rhinoplasty 6 months ago because my nose was huge, with a big dorsal hump and a deviated septum. When the cast was removed, I liked my nose very much by the side because it looked straight and small. However as the swelling was going down, the bone became smaller and my tip started to stick out so much. I think my tip now looks much bigger than right after removing the cast. Is that swelling? Do you think that my nose can improve with time or shall I consider a revision?
(Questioner submitted photos)

Dr. Denenberg's answer: I don't think the tip problem is swelling
I think the problem is that the tip was too projecting, given the position of the bridge, and when the cast came off, there was so much swelling on the bridge that we couldn't see the problem. Now that the bridge swelling has gone down, we see how prominent the tip is.

I don't consider this a polly beak. A polly beak is where the there is unwanted fullness above the tip, and if that fullness weren't present, the tip would look about right. in your case, if that fullness about the tip goes down, your nose would look even longer, which would pose a new problem. Also, a polly beak is usually scar or cartilage *above* the tip cartilages, but the fullness we see there could very well be the tip cartilages themselves.

Seems to me, you need a revision, where advanced work would be done on the tip, to deproject it, and especially to elevate it upwards. In expert hands, these can be fairly predictable changes to make, even in a revision, but all plastic surgeons would not possess the skill to accomplish the changes. So you need to be sure to see before and after photos before you launch into an operation like that.

Link to this question on RealSelf.com