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She has a nice strong chin, which draws your attention away from the strength
of the nose's projection. Projection is one of the features of the
nose that we can measure numerically, unlike most of the changes that have to do
with words describing shapes or curves. Her nose was
deprojected by almost seven millimeters, more than one-fourth of an inch.
Compare her upper lip in the two photos. A projecting nose will cause
the upper lip to pull forward onto the bottom of the nose. In the after
picture, her upper lip has a more normal position because the nose is no longer
projecting out too far; it's not yanking the upper lip forward anymore.
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Questioner:
7 weeks post surgery, nose still looks worse/the same. Should I consider revision?
I have read from many doctors on real self by 6-8 weeks 80% of swelling after rhinoplasty should have gone. I'm 7 weeks post op and nose looks slightly worse than before op. I had the procedure as my nose was wide and pointed before. When I smiled my nostrils flared out and upwards, the tip pointed dropped down pointed into my teeth, as well as the whole thing looking wider. Nothing has changed post op. Should I consider revision?
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose still looks long to me
These photos don't show your entire face, and there are no *true* profiles, but it seems that one of the main changes you nose required was to shorten it, raising the tip upwards.
Unfortunately, the tip doesn't tend to elevate with time. I would much rather that my patients are nervous because the tip is too high at seven weeks, than they be nervous because the tip is too low.
To get a substantial elevation of the tip, you will probably need a revision rhinoplasty. Elevating the tip, even during a revision, is quite predictable, if the doctor is expert at making those changes during a revision, so you must see a doctor's before and after photos before you have 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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