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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
Views of this rhinoplasty patient:

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The gentle curve of the hump on her dorsum was her main complaint.  Removing that small part of the nose can make quite a difference to the overall appearance of the face.


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"I traveled from my country (Portugal) to U.S. ... "
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All views of this rhinoplasty patient:
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current: Right 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: Is it possible for me to have a normal nose?
I am seven months (see pics) post surgery - been wanting a nose job all my life. I just want a normal nose!!! I want revision rhinoplasty, Is my nose beyond repair to create a normal, cute nose, because apparently the plastic surgeons definition of cute and mine were totally different. The tip is too wide for the top portion, and now it looks bigger :-( would a nasal reduction also be in the works for the dramatic change im desiring ? I just want to look normal.
(Questioner submitted photos)

Dr. Denenberg's answer: Yeah, I think probably you are looking at a revision, unfortunately.
While it's true that it takes "about a year" for the vast majority of swelling to leave a nose after rhinoplasty, probably 90% of the swelling leaves in the first six months. So if you are this far away from an excellent result at seven months, I'm very pessimistic, frankly, that swelling reduction will eventually get you where you want to be. 

I've made a modification to one of your views, in the "video link" below. Seems to me that the columella, which is the piece between the left and right nostrils, hangs down too low, and the tip of the nose is still too big and wide. In the modification, I tucked up the columella, narrowed the tip, and brought the entire tip back closer to your face. Although we can't make 100% of the changes that we might ideally want to make, these modifications to the tip, in truly expert hands, are among the more predictable changes to make in a revision.

About your questions in your other post about whether to go back to the original surgeon for the revision, here's what I tell my patients: Do you *know* that your surgeon is truly expert in rhinoplasty? Most plastic surgeons are not. If you saw lots of good before and after photos, showing results that you would want for yourself, and not just profile views where a hump was taken down, then that's a good sign. If your doctor is expert, and he discusses your situation with you openly and honestly, then yours might just be one of those cases where the operation could have been performed quite well, but something unexpected happened during the healing.
If you did *not see before and after photos before selecting your doctor, or if he is evasive or dishonest about handling your problem, or if there are other reasons for you to reasonably think that you did not do excellent research in selecting him, then he is not expert, and you must not let him perform your revision: your nose will just get much worse. Revision rhinoplasty if much more difficult than primary rhinoplasty, and primary rhinoplasty is excruciatingly hard!

Link to this question on RealSelf.com



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