Dr. Steven Denenberg's facial plastic surgery before and afters: Rhinoplasty, combination noses #1

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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All views of this rhinoplasty patient:

rhinoplasty 1: Left oblique	rhinoplasty 2: Right profile	rhinoplasty current: Frontal	rhinoplasty 4: Right oblique

rhinoplasty 5: Left profile	rhinoplasty 6: Right oblique	rhinoplasty 7: Left oblique

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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: Is This a Feasible Outcome for my Rhino?
Please see photo. Should I be more conservative? I'm not too concerned about people knowing.
(Questioner submitted photos)

Dr. Denenberg's answer: Your changes are realistic in the right hands. I tried to improve on your morph.
You have a strongly projecting nose. "Projection" refers to how far forward, away from the face, a nose extends. See my "Web reference" link for the additional morphs I made for you.

When your nose comes closer to your face, it's important to also reduce the upper part of your nose, even above the bump, where your nose joins your forehead, just below your eyebrows. You did a good job of that on the morph. If that area is not reduced, you could end up looking like a Roman statue, too strong where the forehead meets the nose.

The projection of the nose is controlled (mostly) by the two cartilages in the tip of the nose. The tip is the most difficult part of the nose to operate on, so it's mandatory that you see before and after photos of a doctor's other patients, to see whether he has been able to consistently achieve substantial reduced projections for his other patients. Doing good research by looking at photos will help you avoid being in the position of needing a revision.

Link to this question on RealSelf.com


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