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Check out this profile view: no indication of the problem of great excess width in
the tip of the nose, even in the before photo.
This is why, when you see rhinoplasty before and after pictures in a magazine
article, on the Web, or in a doctor's office, the photos will so often be like
these: a direct
profile shot of a nose that is already short enough, not too projecting, and
all it needed was removal of a small hump.
Most plastic surgeons can get those changes right once in a while. If
you have a unique problem with the tip of your nose, you need to see photos
showing correction of that type of problem in order to evaluate the plastic
surgeon you are interviewing.
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 Go here to learn how to send your photos to Dr. Denenberg,
 or to arrange a personal consultation.
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.
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Questioner:
Is There Hope for Another Revision Rhinoplasty?
I had a revision rhinoplasty to fix my deviated septum. I wanted to keep the shape and size and only fix the deviation. A graft was placed (not from my body) but I was surprised that now my nose appears to have bad scar tissue, resulting in a "no shape" and bulbous nose. Could another revision fix my nose, for the last time? Or, will scar tissue keep forming? Can my nose be slimmed and defined? I live in Saudi, but I'm considering a revision in the states. Is there any surgeon you recommend?
(Questioner submitted photos)
Dr. Denenberg's answer: Removing scar tissue to give definition to the nose can be difficult
While it's true that some scar tissue will always form after any operation, the question is whether your scar tissue can be carved enough to give a meaningful improvement despite the new scar that can form. Sometimes the cartilages can still be modified to help with narrowing and defining, or adjusting or removing the graft could help. Could you post larger photos, taken from many angles, and also let us know where the graft sits? That would help.
Link to this question on RealSelf.com
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