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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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Questioner: What would be involved in Rhinoplasty 2nd revision on nose tip? Do I have Melasma or Freckles on my upper lip/ mouth?
Hello, I had rhinoplasty in August 2013 and a revision in September 2014. My nose is now asymmetrical in the tip and I'm just wanting to know what exactly would be involved in a second revision to have this fixed? Also if anyone could tell me, if I have Melasma or Freckles on my upper lip/around my mouth? Thank-you for your help in advance :)
(Questioner submitted photos)

Dr. Denenberg's answer: Another revision should address more than just the asymmetry of your tip
Hi,
I see the asymmetry of your tip, but the asymmetry is small, and small asymmetries are very difficult to correct. However, usually when there is an asymmetry like that, some of the other views show other problems that can be corrected during a revision operation. Can you post profile and three-quarter views? You might get some useful comments.

Link to this question on RealSelf.com



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