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.
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Questioner: My Nose Profile Has These Awkwards Lines. How Can This Particular Problem Be Fixed?
Depending on light and shadow, they are more or less evident, making my nose creepy. Also, I've been wearing glasses since I was 10 - I'm 20 now. Can these marks be a consequence of wearing glasses?
(Questioner submitted photos)

Dr. Denenberg's answer: The lines may adjust when the shape of the nose is changed, if that's a priority for you
Hi. It's never predictable how the skin will drape and fold over the nose. Were you thinking of changing the shape of your nose, too? If that were done, the folds might redrape in a way to make them less conspicuous, though it's not really predictable. See my "Web reference" link for a morph of a proposed change to your nose.

I brought it back closer to your face, raised the tip a small amount, and lowered the hump. Those are typical changes that patients request. You can see how that would change how the skin has to drape on your nose, and maybe for the better.

As far as changing the lines if you don't want to change your nose, I don't really encourage fillers, for example. I would probably just leave them alone.

Link to this question on RealSelf.com


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