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With the dorsum of the nose pushed in just above the tip, the tip looks
too prominent, isolated from its neighboring structures. After surgery,
the nose flows more gracefully from dorsum to tip, without the divot.
The artificial material I like to use is soft, like a cloth, so it doesn't
show any sharp edges as grafted cartilage could. Note the smooth, natural contour
of the bridge of his nose after surgery.
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Questioner:
Can my Results Still Be Corrected or is It Not Worth the Risk?
Furthermore, Based on the Pictures What Can Be Done to Improve? Hi, I had an open rhino. about a year ago, I'm really unhappy with the results. I originally had a dorsal hump removed but the doctor put a whole bunch of grafts in my nose also. (I have oily med/thick skin and I think I still have shrinking/swelling left). However, it still looks droopy, long, wide especially when I smile or laugh. How do I find a good dr. that can fix my nose type, my last specialist surgeon had a great "record" but it obviously didn't cut it. Any info would help. Thanks.
(Questioner submitted photos)
Dr. Denenberg's answer: I agree your nose would probably improve if it were shortened
Even on a revision, shortening a nose by raising the tip can be one of the most predictable changes to make. See my "Web reference" link for a morph I made of one of your images. Shortening a nose like that requires advanced work on the tip cartilages, so be sure your next surgeon has shown you before and after photos of other patients of his whose noses were shortened attractively. Seeing photos is your only way of checking out a surgeon's skill.
Link to this question on RealSelf.com
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