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

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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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"He is very kind and honest and
made me feel confortable from the first moment. "

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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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Questioner: What Are my Chances to Get a Worse Nose After Rhinoplasty?
I mean I dont have any trouble with my nose from front, but I want to get rid of the hump from profile and get the nose up a little bit so it does not get to fall down at the tip .. but I dont want to mess the front view, are there chances I get worse at all ? I mean yes I understand it depends on who perform the operation I know .. and is rhinoplasty get to shorten the nose a little bit ? thx very much
(Questioner submitted photos)

Dr. Denenberg's answer: In skilled hands, the chances of a worse nose for you are very low.
The changes that you want for your nose, removing the hump and raising the tip a small amount, are two of the most predictable changes to make in a rhinoplasty. Click on the "Web reference" link to see a morph of your nose, showing those changes. I happen to agree with your assessment of your nose: don't change the front, remove the hump, very conservative on raising the tip.

The rhinoplasty operation is still difficult, so you still need a skilled surgeon, and you have to review his before and after photos to get proof of his skill, but yours is not the kind of nose that should be left alone because of a high risk of problems. If you want those changes, it's reasonable to proceed.

Link to this question on RealSelf.com


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