Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, large tip noses #11

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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 always thought that having a beautiful nose
would make me feel better,
but I could never imagine that
it would change my life. "

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All views of this rhinoplasty patient:

rhinoplasty 1: Right oblique	rhinoplasty 2: Right profile	rhinoplasty 3: Left oblique

rhinoplasty current: Frontal	rhinoplasty 5: Right oblique	rhinoplasty 6: Left profile

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Questioner: Will a Septo-rhinoplasty Improve my Smile As Well?
I have always had a complex about my nose and wanted to get a rhinoplasty, I think I am financially and emotionally ready to start the process. Besides the obvious reasons of my dorsal hump and bulbous tip I also have a deviated septum which gives me breathing and congestion problems. I would like to know if this procedure would also affect my smile? As you can see my teeth barely show. If not, is there a procedure that the doctor can do in addition? Thank you!
(Questioner submitted photos)

Dr. Denenberg's answer: Not so sure working on your smile is a good idea
Hi. You do look like a good candidate for a rhinoplasty. You've got that hump, and the tip is wide, as you said. Also, from the profile view, a lot of the inside of your nose shows, and we would want to reduce the amount visible from the side. See my "Web reference" link for a morph showing potential changes to your nose, and an animation of the morph. I didn't make a frontal morph because your photos are sooo very tiny, but they do show the width of the tip of your nose. Be aware that work on the tip of the nose is difficult, and not every plastic surgeon has the skill to accomplish it with expertise. Be sure to see before and after photos of the doctor you choose. Seeing how he made changes for someone else is your only way to determine whether he has the skill to accomplish the changes you want for yourself.

Concerning your smile, I don't think working on your nose would change your smile in a meaningful way. Again, the photos are too small to have a good evaluation of your upper lip skin and how it attaches to your nose, and how things change with a smile, but in general, the smile is controlled by strong muscles, and the static position of the nose doesn't have much of an effect on it.

There *are* operations that claim to allow more of the upper teeth to show in a smile -- the "lip lift" operation comes to mind, but it seems to me that an operation like that would just be "something to try" rather than a solid, predictable solution, and you might be much better off leaving it alone. You don't want to be left with visible scars on you lip and no improvement in the feature you were concerned about.

Link to this question on RealSelf.com


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