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Steven M. Denenberg, M.D.
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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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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: Rhinoplasty gone wrong? Nostrils not even
Help, I had surgery on the 18th of May. Right away I noticed my nostrils were not even. When I went back to my doc the following day after surgury and addressed this with him he said my nostrils were probably uneven before the surgery, which is not the case. What should I do? What do you think ? I am panicking because it is now the 20th and although I know my nose is still swollen I don't believe my nostrils will change. What do you think?
(Questioner submitted photos)

Dr. Denenberg's answer: Go back to your doctor again.
Asymmetric swelling can cause visible asymmetries that go away if it's truly only the swelling that's asymmetric.

But you're only a couple days after surgery! Your doctor is the one who knows what happened during surgery, and you're kind of stuck with him for support right now. Call him again for another evaluation/pep talk.

Link to this question on RealSelf.com