Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, long noses #10

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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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All views of this rhinoplasty patient:

rhinoplasty 1: Left oblique	rhinoplasty 2: Left profile	rhinoplasty current: Frontal

rhinoplasty 4: Right oblique	rhinoplasty 5: Right profile	rhinoplasty 6: Right oblique

rhinoplasty 7: Left oblique

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Questioner: 7 weeks post surgery, nose still looks worse/the same. Should I consider revision?
I have read from many doctors on real self by 6-8 weeks 80% of swelling after rhinoplasty should have gone. I'm 7 weeks post op and nose looks slightly worse than before op. I had the procedure as my nose was wide and pointed before. When I smiled my nostrils flared out and upwards, the tip pointed dropped down pointed into my teeth, as well as the whole thing looking wider. Nothing has changed post op. Should I consider revision?
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose still looks long to me
These photos don't show your entire face, and there are no *true* profiles, but it seems that one of the main changes you nose required was to shorten it, raising the tip upwards.

Unfortunately, the tip doesn't tend to elevate with time. I would much rather that my patients are nervous because the tip is too high at seven weeks, than they be nervous because the tip is too low.

To get a substantial elevation of the tip, you will probably need a revision rhinoplasty. Elevating the tip, even during a revision, is quite predictable, if the doctor is expert at making those changes during a revision, so you must see a doctor's before and after photos before you have the operation. See the attached video and Web reference link for examples of what can be done in the right hands.

Link to this question on RealSelf.com


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