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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
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.


next view of this patient

"Excellent! Calm, patient, professional. "
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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: What is the best filler to correct a too sloped/curved nose (after rhinoplasty)?
I had a rhinoplasty ten+ years ago. While I am happy with my nose, it is very ski slope, which is very cute but I feel it would be nicer if it were just straight and the bridge slightly thinner (it used to be slightly raised so it's already great). I also feel I have a slight amount of excess skin each side of the bridge, which could be absorbed. I think this can be done with a filler and is a fairly easy procedure. Any advice on which injectable? Or any other advice?
(Questioner submitted photos)

Dr. Denenberg's answer: Don't do it.
Sorry, I don't really mean to be oppositional but...

Your nose looks great. The "slope" is so slight that it's all but imperceptible. The injection wouldn't make the bridge thinner, it wouldn't help with the "excess skin" on the sides. It would only harm your nose. It can't be controlled well enough to both reduce the slope and not cause a bump. It would be asymmetric and make your nose look crooked from the front. Whenever you use the term "slightly" to describe something wrong with a nose, that means that the nose shouldn't have any treatment. And finally, nothing on the nose is "easy," even just injecting filler.

Link to this question on RealSelf.com



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