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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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The frontal view is always the hardest to evaluate, but we'll try.  Look at the two white dots in the tip of the nose.  They are reflections from the flashes, just as there are two white dots in each of her eyes.  Now compare the position of those dots with the position of her nostrils in the before and after photos.  You'll find that the dots are higher in the after picture, indicating that I succeeded in elevating the tip of her nose.

It's harder to tell what was done to the dorsum from this view, but check out the two vertical parallel white stripes in the dorsum in her after picture.  They are more even and uniform than the stripes in her before picture, indicating that her dorsum was narrowed and straightened.  See what you can tell if you know what clues to look for?


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"I traveled from my country (Portugal) to U.S. ... "
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Am I a candidate for non surgical rhinoplasty?
So I've been considering rhinoplasty, but I am much more in favor of a non invasive non surgical procedure. I was wondering if I would be a candidate and benefit for a nonsurigical nose job
(Questioner submitted photos)

Dr. Denenberg's answer: Nope, nope, nope. No non-surgical rhinoplasty for you
Hi,
I'll throw my hat in the ring with the other physician posters who said not to have a non-surgical rhinoplasty.

Understanding non-surgical rhinoplasty is easy. Stuff is injected into the nose; the nose looks bigger. If you want your nose to look smaller, non-surgical rhinoplasty is the wrong approach.

In fact, non-surgical rhinoplasty is reasonable only in the very very rarest of cases -- usually after previous surgery, when a persistent dent that cannot be further corrected with surgery can be lifted with a tiny, tiny amount of filler, like 1/100 of a cc or so. It's a way to salvage a minuscule improvement when further surgery is not a good idea.

Also, in general, you shouldn't have a non-surgical rhinoplasty from a doctor who does not regularly do *standard* rhinoplasty. If the doctor *only* does *non-surgical* rhinoplasties, then he likely will recommend one to you when I wouldn't think it reasonable.

Link to this question on RealSelf.com