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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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"I am so happy that I cannot even put it in words ... "
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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: Rounded tip, pollybeak and over-projection? Is it swelling or should I consider a revision?
I'm 4 months post op. My tip is very rounded and my nose appears to be over projected on three quarter view. Is this swelling, a pollybeak forming or just not a nice result? Should I consult with revision surgeons?
(Questioner submitted photos)

Dr. Denenberg's answer: Excess projection and fullness after rhinoplasty
Hi,
I'll try to be helpful, but for some reason I can't see the posted photos.

I suppose the rounded tip could be, as you said, swelling or a pollybeak or just not a nice result. Sometimes, if it's swelling, a steroid injection can help, but it's unlikely to help hugely. I don't see how projected your nose is, but probably the projection won' change much now.

De-projecting a nose involves advanced techniques on the tip cartilages, and most plastic surgeons don't have the training to make the changes with accuracy and predictability. Especially in a revision. If you consider a revision, you *must* see before and after photos of the doctor's other patients, with noses similar somehow to yours, so that you can see if he was able to accomplish for someone else what you want for yourself.

If you re-post the photos, I'd be happy to give you advice based on your specific situation. See the attached video and Web reference link for examples of changes that can be made in the right hands.

Link to this question on RealSelf.com