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

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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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All views of this rhinoplasty patient:
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rhinoplasty
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current: Left profile
rhinoplasty

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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: Bad Nose Job?
Got my nose done 2yrs ago sometimes it looks swollen,is it still healing? Also my nose is crooked,my surgeon said it wasn't&he'd prob make it worse be4 better,I think it's crooked&2 big&bulby looking(tip)&slight bump still there(he said he could fix the bump). I had a bit of trouble breathing through my right nostril after the rhinoplasty it's double worse,I need a nasal spray just to sleep,my regular dr said it looked swollen inside,why is that? I'm going to have to get another surgery?
(Questioner submitted photos)

Dr. Denenberg's answer: Nose is still long, tip is forward projecting
After two years, your swelling is probably all gone. On the profile view, your nose is still strongly forward projecting from your face. I'd like to see it closer to your face. Also, your nose looks long, where we measure "length" from the tip of the nose up along the bridge to where it begins between your eyes. Click on the Web reference link for a morph of your current nose to a proposed after photo, correcting those features, and links to some other patients who had similar changes to their noses. From the front, your nose does look somewhat crooked still, and somewhat wide. Revision rhinoplasty is very difficult, so if your doctor doesn't describe these changes and show you other patients with similar problems where he's had success, don't let him operate again. The good news for you is that, in expert hands, decreasing the nose's length and projection are two of the most predictable changes to make in revision rhinoplasty.

Link to this question on RealSelf.com



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