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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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One of the advantages of using an artificial material to build up the nose (as I did here) is its easy availability: just unwrap the package.  Many plastic surgeons like to use the patient's own cartilage to augment a nose like this.  Frequently, however, a nose that has been injured has broken and injured cartilage inside, which might make that cartilage unavailable for the task of augmenting the nose.


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current: Left oblique

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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: Do I need rhinoplasty/chin implant to get desired look?
I want to fix hump and biggest issue is how long it looks. Would rhinoplasty fix this? Does the tip look like it needs to be fixed?When i look straight ahead I feel like nose looks to wide esp when I smile. Would doing a chin implant at the same time as rhinoplasty help my face look more even and aligned? I think my chin looks weak, or would using something such as fillers in the lips make my profile look better and everything aligned? I included examples of what I want my nose to look like.
(Questioner submitted photos)

Dr. Denenberg's answer: Rhinoplasty can help, but I like your chin as it is now
You have that gentle hump on the bridge, and a tip that could be elevated to make your nose more like the example photos. In the right hands, these are realistic goals for a rhinoplasty. See the Web reference link for an example.

I wouldn't recommend a chin implant. You have a tall chin with good strength, and an implant would draw too much attention to the chin.

Link to this question on RealSelf.com