• Rhinoplasty
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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Views of this rhinoplasty patient:

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Let's try to evaluate the surgical changes from this frontal view.  You can see some of the changes from removing the hump: the before picture has two parallel vertical white stripes along the dorsum of his nose.  Those stripes are the return from the flashes in my photo room.  The stripes give you a feel for the position of the dorsum and the presence of the hump, and they are missing in the after picture.

Nasal length: in the after picture, we can see just a glimpse of his nostrils.  That glimpse is our indication that his nose was shortened, because in the before picture, his somewhat droopy tip hung over and obscured our view of the nostrils.

Actually, he has his head tilted down slightly in the before picture, but the analysis is still valid. (You can tell that his head is tilted down a bit by looking at his right eye and his right ear.  In the after picture, his right eye is at the level of the top of his ear.  In the before picture, his right eye sits below the level of the top of the ear.)


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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: Rhinoplasty and Chin Implant.
Hello, I'm looking to get a professional opinion. I was often made fun of about the size of my nose in elementary school, which has since affected my confidence. Also, I feel my jawline is not very defined. Would a chin implant help with that? I very much appreciate any input/feedback I can get. Thank you very much!!
(Questioner submitted photos)

Dr. Denenberg's answer: Your nose does have features that can be changed
Most of what I see involves the lower part of your nose: The tip cartilages are thick and strong and widely positioned, which makes your tip look wide from the front. It also make the nose project strongly forward away from your face, and it holds the tip in a low position, so the nose is long from top to bottom.

Expert work on the tip of your nose can elevate the tip, bring it back closer to your face, and narrow the tip, making you more comfortable with your nose.

You have a little bit of a weak chin, but I think your jawline definition is great. A small chin implant could balance your nose: when the chin is weaker the nose looks larger, so augmenting the chin can make the results of the nose surgery look better.

But alternatively, if your nose were made smaller, you chin wouldn't look quite so weak. To me, it's a close call whether you need a chin implant.

See the Web reference and attached video for examples of the kind of change you could benefit from. Realize that work on the tip of the nose always involves advanced techniques, and most plastic surgeons are not capable of making the changes, so you always must see a doctor's before and after photos.

Link to this question on RealSelf.com