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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
rhinoplasty
 
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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.


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All views of this rhinoplasty patient:
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current: Frontal
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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 Am Considering Having Rhinoplasty. However I Am Unsure As to What Results I Can Expect?
I am considering having rhinoplasty. I am currently researching doctors in the area to find which ones seem to do the best work. I would like to know what type of results I can expect in order to go in informed when I speak with them. I am not looking for a dramatic makeover, just some refining of the nostril area. Can I do this with just a tip plasty?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose requires expert work on the tip. Be certain to see before and after photos
Hi. In many noses, work on the tip is most of the work that is done, so in your case there isn't really a meaningful difference between a "tip plasty" and a "rhinoplasty." See my "Web reference link for some morphs of your before and after photos.  You have strong tip cartilages that show left and right prominences on your tip. The cartilages also make the columella, the piece between your nostrils, droop some, and they hold the tip of your nose out away from your face. 

Your nose requires real expert work on the tip to correct these features. It's crucial that you see before and after photos of the patients of the doctor you are considering, where wide or prominent tips were corrected. This is not something that every plastic surgeon can accomplish, and a diploma won't give you the answer -- only seeing the doctor's other patients will tell you if he has the skill.

Link to this question on RealSelf.com