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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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This woman's strong nasal tip cartilages contributed to several of her concerns about the appearance of her nose.  The tip was too wide and prominent, with a small dent between the tip cartilages.  The nose was longer than we wanted it, and it was too projecting.  She also had excessive columellar show.

All of those areas were addressed during her operation.


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"When I look in the mirror,
I am in disbelief at how natural it looks ... "
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: What would be involved in Rhinoplasty 2nd revision on nose tip? Do I have Melasma or Freckles on my upper lip/ mouth?
Hello, I had rhinoplasty in August 2013 and a revision in September 2014. My nose is now asymmetrical in the tip and I'm just wanting to know what exactly would be involved in a second revision to have this fixed? Also if anyone could tell me, if I have Melasma or Freckles on my upper lip/around my mouth? Thank-you for your help in advance :)
(Questioner submitted photos)

Dr. Denenberg's answer: Another revision should address more than just the asymmetry of your tip
Hi,
I see the asymmetry of your tip, but the asymmetry is small, and small asymmetries are very difficult to correct. However, usually when there is an asymmetry like that, some of the other views show other problems that can be corrected during a revision operation. Can you post profile and three-quarter views? You might get some useful comments.

Link to this question on RealSelf.com