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Steven M. Denenberg, M.D.
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Along the dorsum, you can see parallel vertical white lines that are the reflections of the flashes.  The linear reflections are prominent, and a bit crooked; they softened and straightened after the hump was removed.

Look at the tip of her nose.  In the after picture, there are two white dots, also reflections from the flashes.  The white dots are small and symmetric, closer together than in the before picture, more distinct than in the before picture, and positioned higher above the nostrils than in the before picture.  Those findings are our indications that the tip of the nose was narrowed and elevated during the operation.  Also, we get to see just a little bit more of her nostrils after surgery, another indication that the tip of the nose was elevated.


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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Beverly Hills Doctors versus New York Doctors sense of aesthetics.
Hi, I am going to have a revision rhinoplasty soon. I am a male and I do not want my nose to look "done." Several people have told me that Beverly Hills doctors prefer a more "done" look than NY doctors. They say it is the style differences of the 2 cities. Is this true?
(Questioner submitted photos)

Dr. Denenberg's answer: Geography has nothing to do with the results of a rhinoplasty
Hi! Beverly Hills has surgeons who can give you a beautiful, natural nose, surgeons who will give you a nose that looks "done," and surgeons who shouldn't be operating on noses at all. New York City has all three kinds of surgeons, too. You pick a surgeon based on whether you like the results he has been able to accomplish for others, not on his location.

Link to this question on RealSelf.com