• Rhinoplasty
Go to Patient:
  • Other noses:
rhinoplasty FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
Views of this rhinoplasty patient:

Image size is small
show larger

She doesn't really have a ball on the end of her nose, even if that's the cliché.  The cartilages that form the tip of her nose are wide, and they overlap each other, giving the impression of a ball.

A wide tip will appear to be a bulge on an oblique view of the nose.  If you put your finger on her nose where it begins, next to the inner corner of her left eye, and run your finger down the edge of her nose, your finger will have to bump out to your right as it follows the bulge around the tip of her nose in this view.  In the after picture, with a narrower tip, that bulge is gone, and your finger would trace a straight line from where her nose begins down to the tip.

Now clean off your computer screen.

next view of this patient

"...the most caring and comforting staff ... "
See all of Dr. Denenberg's reviews on


Interested in morphs?
All views of this rhinoplasty patient:
current: Right oblique

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.

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