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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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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