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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 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.


next view of this patient

"I was extremely fortunate to have him
perform my primary rhinoplasty. "
See all of Dr. Denenberg's reviews on

 

Interested in morphs?
All views of this rhinoplasty patient:
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current: Left profile
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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: Why is my Tip Still Droopy After Rhinoplasty?
I had closed rhinoplasty. If my tip was lifted, why does it still look the same as before? I'm frustrated... It just seems like the distance between my tip and upper lip is a bit different, but the tip is droopy and shaped droopy-like just like before. Why? was it the technique?
(Questioner submitted photos)

Dr. Denenberg's answer: It's certainly possible that you nose simply wasn't shortened in the previous operation
Hi. The photos you sent are sort of tiny, but they do show the relationship between the bottom of your nose and your upper lip, and it appears that the nose is still long. See my "Web reference" link for a morph I made of your nose, showing what it might look like if it were shortened.

Shortening a nose, in expert hands, is one of the more predictable changes to make in a nose, even in a revision, but it requires some complicated work on the tip cartilages. Still, no operation is 100% successful. You have a decision to make about using your same surgeon for a revision. If you feel that you selected him well, and you saw lots of his before and after photos, proving that he has shortened long noses for other patients and does excellent work in general, then take his advice about a revision to try again to shorten your nose.

However, if you did not see lots of before and after photos, and you suspect that he might not have been able to shorten your nose in the first place, then you should not have him revise your nose, because he is unlikely to succeed, and it can get you into more trouble.

Link to this question on RealSelf.com