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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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"I would highly recommend traveling to Omaha to see him. "
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current: Left profile
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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: What's happening to my tip after rhino? Thin / medium skin, rhino performed by renowned surgeon. Should I seek revision?
Got closed septorhino 10 months ago. According to a doctor small hump removed, crooked nose straightened, tip lifted and refined, no alar base reduction. Profile is accetable, but too projected to my taste. But the front... What I am left with is just beyond my imagination. Please tell me if this is still swelling on the tip? It's bigger and droopier than before rhino, on one side there is big ball, which i can press but it will reappear. Nose still if not more crooked!! I am really depressed.
(Questioner submitted photos)

Dr. Denenberg's answer: I wouldn't expect compressible swelling this long after surgery
While there is usually still *some* swelling 10 months after rhinoplasty, any remaining swelling would likely be soooo subtle -- not something that you can visibly compress and have return. That's more likely to be a more permanent feature, perhaps some tenting of the skin over or across two prominences of cartilage.

To raise the tip would require a revision rhinoplasty. Issues of the width of your tip, the projection of the tip, and the remaining asymmetry could be addressed at the same time. 

Elevating the tip, even during a revision, is quite predictable, if the doctor is expert at making those changes during a revision. The other changes you are requesting can be even more complex to achieve, so you must see a doctor's before and after photos before you decide on a surgeon for the operation. See the attached video and Web reference link for examples of what can be done in the right hands.

Link to this question on RealSelf.com



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