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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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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.
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Questioner: Am I a candidate for a Tiplasty?
My nose is currently in the pic above i would like it to look like the picture below it....what would require to be achieved? From research i have done i would think it would be a tip rotation and trim....if so...does this procedure require anethesea /would it be cheaper??? Thanks :)
(Questioner submitted photos)

Dr. Denenberg's answer: I think you're right: upward rotation of the tip is the goal
When you are looking for a surgeon, be sure to see before and after photos of patients who have had a successful and substantial upward rotation of the tip. Many of the revision operations that I perform are on patients who needed rotation but didn't get it in their first operation. It's a change that every plastic surgeon cannot accomplish.

Link to this question on RealSelf.com