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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
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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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"...extreme skill and experience was evident. "
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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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