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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: Are my expectations for my desired Rhinoplasty results unreasonable?
I'm getting a rhinoplasty in 2 weeks and am really hoping for a specific result. I know everyone is different in terms of what's reasonable but in your opinion, is what I want do-able? I've posted photos of myself and also of what I'm hoping for...
(Questioner submitted photos)

Dr. Denenberg's answer: Improvement is possible for your nose, and the posted before-and-after is a great result.
Hi,
You do appear to be an excellent candidate for a rhinoplasty. As I see it, the goals would be to lower the hump, narrow the bridge and tip of the nose, raise the tip some amount, and definitely bring the entire nose back closer to the face.
Be sure you have seen many of your doctor's before and after photos, of other patients who had the same kinds of changes that you want for yourself. Yours is a difficult rhinoplasty, requiring advanced techniques, and most plastic surgeons would not be able to handle it well. Board certification diplomas tell you almost nothing about a doctor's skill in this field.
Also, I guess I have to disagree with some of the other posters about whether you need a chin implant. Your chin is very short vertically: measuring on the profile view from your lips vertically down to the bottom of the chin. That's a great, great feminine feature to have, and to my eye, it means that your chin doesn't have to project as far forward as it might on someone else. Further, just as a chin implant can make a nose look smaller, a reduction rhinoplasty can make the chin look a little bigger, and I think you'd look fine without the implant.

Link to this question on RealSelf.com