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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Views of this rhinoplasty patient:

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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.


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

Questioner: Can This Bad Revision Rhinoplasty Be Fixed?
It was supposed be simple revision ( I know no such thing) of droopy tip from profile . Front was pretty good. After revision it became worst from every angle. Bridge became crocked, there is a bump from 3/4 view and worst of all tip became longer and pointy. It has been 3 years and I can't get used to this unfamiliar look it gave me. Am I looking for more disappointment with another surgery? Willing to travel Anywhere
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose can likely be improved, much closer to your original goal.
Well, please tell everybody that if a doctor tells you that a revision will be "simple," you should run away at top speed. But going forward, one of your main complaints is that the nose is long, with the tip drooping. Even though we can't accomplish *everything* we want to in a revision, raising the tip of the nose is one of the more predictable changes, even in a revision, in competent hands. See my "Web reference" link for a morph showing your nose with the tip elevated.

The bump on the three-quarter view is caused by your nose being off center from the frontal view. Asymmetries like that are the most difficult features to correct in a revision, or even in a primary rhinoplasty. They can generally be improved, but not eliminated. The goal is to get a nose that you are happier with, more satisfied with, even if there are still some features that bug you or that you wish could be a little better.

Link to this question on RealSelf.com