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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: Is There a Way to Put a Very Slight Curve in my Nose Without Surgery?
I had a revision surgery 3 weeks ago. I was left with a too scooped nose so I wanted cartilage places to make it a little more straight with a slight curve. I feel that my nose is too straight now. Is it possible to get a slight curve without having surgery again?
(Questioner submitted photos)

Dr. Denenberg's answer: Revision rhinoplasty takes longer to show the final result
Hi, Eliza,

Three weeks is too early to judge the results of a revision rhinoplasty. Your nose will be changing and losing swelling for at least a year, more likely 18 months or so.

Also, revision rhinoplasty is so difficult, that it's rarely wise to operate to change anything "slightly." Every time you have surgery, some new feature will appear to bother you. My opinion is that you should back burner the idea of more surgery for at least a year or so.

Link to this question on RealSelf.com