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
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I'm trying to understand my surgeon's operative report in order to understand what was and wasn't done. Please help?
As the photos demonstrate, my primary rhinoplasty was not successful in any way, shape, or form. Since acquiring my surgeon's operative report, I've been trying to make sense of the medical terminology in order to understand what was done to my nose during my operation... Thus educating myself. I want to fully understand as I navigate my revision consults. I keep telling people that the "tip wasn't touched at all," but aside from that, could someone please help me interpret the report? (Photos).
(Questioner submitted photos)
Dr. Denenberg's answer: It doesn't look as though much was done to your tip.
The report says "a portion of the lower lateral cartilages" was removed. That *can* result in a tip that is less wide, or less projecting, but it's the rare, rare tip that will respond completely to a simple removal of some of the tip cartilages as described. Perhaps your tip requires much more advanced work to change it's size and shape.
If you are seeking a revision, be very careful. Revision rhinoplasty is far, far more difficult than a first-time rhinoplasty, and even in a first-time rhinoplasty, most plastic surgeons are not expert enough to handle more difficult tip structures. You must see before and after photos of a doctor's work before deciding whether to use him for your revision. See the attached video and the Web reference link for examples of the changes that are possible in expert hands.
Link to this question on RealSelf.com