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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
rhinoplasty
 
Views of this rhinoplasty patient:

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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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current: Frontal
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: I 100% Have a Pollybeak Def from Going on 4 Rhinoplastys, Should I Go Through with the 4th?
first rhinoplasty almost 2 years ago now, the results were horrible & my nose looked twice the size as it naturally did. Since then my surgeon suggested another 2 closed rhinplasty to fix that and a twisted look from not enough taken off one side of my bridge. Since the 3rd still very unhappy, I have a pollybeak he says and is now soon booking me for an OPEN rhinoplasty which i am worried about because I dont want my nose to collapse or anything and he said nothing about grafting, what to do, help
(Questioner submitted photos)

Dr. Denenberg's answer: A reasonable revision operation might help your nose significantly.
I'm sorry to hear about your experiences.  It could be possible to make improvements in your nose. If the bridge of your nose can be built up just a small amount, and the polly beak taken down just a small amount, it can make a huge difference in how natural your nose looks. Click on the Web reference link to see a digital modification that I made of your nose.
You should not have the same doctor operate. Revision rhinoplasty is extremely difficult operation, and your surgeon has probably proven satisfactorily that he might not be up to this job.  Also, you must have realistic expectations. It's too late to end up with a stunning gorgeous nose -- you should be seeking a nose that looks natural and does not draw attention, and then leave it alone forever!

Link to this question on RealSelf.com



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