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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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I strive to make a nose that doesn't draw attention to itself, but fits with the rest of the face.  Sometimes, a patient's ethnicity or personal tastes will dictate that I do less during surgery, leaving the nose bigger than most people would prefer, or doing more, making the nose smaller than the common vote.  Either way is fine, as long as we don't go too far, and as long as we target the patient's rational wishes as closely as possible.


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"...all the way to Omaha from Norway ... "
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What is the best filler to correct a too sloped/curved nose (after rhinoplasty)?
I had a rhinoplasty ten+ years ago. While I am happy with my nose, it is very ski slope, which is very cute but I feel it would be nicer if it were just straight and the bridge slightly thinner (it used to be slightly raised so it's already great). I also feel I have a slight amount of excess skin each side of the bridge, which could be absorbed. I think this can be done with a filler and is a fairly easy procedure. Any advice on which injectable? Or any other advice?
(Questioner submitted photos)

Dr. Denenberg's answer: Don't do it.
Sorry, I don't really mean to be oppositional but...

Your nose looks great. The "slope" is so slight that it's all but imperceptible. The injection wouldn't make the bridge thinner, it wouldn't help with the "excess skin" on the sides. It would only harm your nose. It can't be controlled well enough to both reduce the slope and not cause a bump. It would be asymmetric and make your nose look crooked from the front. Whenever you use the term "slightly" to describe something wrong with a nose, that means that the nose shouldn't have any treatment. And finally, nothing on the nose is "easy," even just injecting filler.

Link to this question on RealSelf.com