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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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This nose was injured in an automobile accident.  Her nose was pushed off to the right side of her face.  When a nose is off center on the face, the patient usually has a "good side" and a "bad side."  This right oblique view is the bad side of a nose that is pushed to the right.  The nose's leaning to the right looks like a bulge from this angle.

As you are browsing this patient's views, compare this view with her "good side," which is view 3.

After surgery, she has a much nicer straight dorsum with a tip that is more distinct and narrow.


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All views of this rhinoplasty patient:
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current: Left oblique
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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: Uneven nostrils after 2 rhinoplasties. What can be done?
After two rhinoplasty surgeries. my daughter's nostrils are uneven, and she is self conscious. Her nostrils were not uneven prior to rhinoplasties. To correct them, would she require a third rhinoplasty with general anesthesia? Would it be as hard a recovery? What can be done to fix them?
(Questioner submitted photos)

Dr. Denenberg's answer: Maybe, maybe, she could have a revision of only the columellar scar
In general, that view, the bottom view, is the least important view after a rhinoplasty (or before), because it's a view that people generally don't see. Achieving excellent symmetry in that view is unrealistic, and unnecessary.

Having said that, however, it seems that much of the asymmetry is caused by a bulge of scar tissue on her left side, at the location where perhaps the incision was made for an open rhinoplasty. Maybe revising that scar would help meaningfully, with no risk to the entire rest of her nose.

Link to this question on RealSelf.com