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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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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: I 100% Have a Pollybeak Def from Going on 4 Rhinoplastys, Should I Go Through with the 4th?
first rhinoplasty almost 2 years ago now, the results were horrible & my nose looked twice the size as it naturally did. Since then my surgeon suggested another 2 closed rhinplasty to fix that and a twisted look from not enough taken off one side of my bridge. Since the 3rd still very unhappy, I have a pollybeak he says and is now soon booking me for an OPEN rhinoplasty which i am worried about because I dont want my nose to collapse or anything and he said nothing about grafting, what to do, help
(Questioner submitted photos)

Dr. Denenberg's answer: A reasonable revision operation might help your nose significantly.
I'm sorry to hear about your experiences.  It could be possible to make improvements in your nose. If the bridge of your nose can be built up just a small amount, and the polly beak taken down just a small amount, it can make a huge difference in how natural your nose looks. Click on the Web reference link to see a digital modification that I made of your nose.
You should not have the same doctor operate. Revision rhinoplasty is extremely difficult operation, and your surgeon has probably proven satisfactorily that he might not be up to this job.  Also, you must have realistic expectations. It's too late to end up with a stunning gorgeous nose -- you should be seeking a nose that looks natural and does not draw attention, and then leave it alone forever!

Link to this question on RealSelf.com



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