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
|All views of this rhinoplasty patient:
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.
Do I need a revision rhinoplasty?
I like everything about my new nose but the tip. Im 20 months post op and I'm not thrilled about the tip. It's very round and sort of droopy. Especially in pictures. At my last follow up, my doctor acknowledged that the skin underneath the nose was a little loose but even with the new procedure, there's a chance it'll still look the same way it does now. He claims there's no way to get rid of the skin. Thoughts?
(Questioner submitted photos)
Dr. Denenberg's answer: It doesn't look like loose skin to me.
I have to say, I've never seen a case where drooping at the bottom of the nose there is loose skin hanging down. It's either cartilage or scar tissue.
This far after surgery, if the nose is still too big, you're looking at a revision. There are a couple of pieces of good news for you, though. It appears, from these photos, that the size is the result of strong cartilages under the skin, and a revision where reduction in size is the goal is more predictable than some other changes we try to make.
I would try to elevate the entire tip of your nose -- that's key -- narrow the tip, bring the whole nose back closer to the face, lower the bridge to match the new position of the tip.
Link to this question on RealSelf.com