• 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.)


next view of this patient

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All views of this rhinoplasty patient:
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current: Frontal
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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 gone wrong? Nostrils not even
Help, I had surgery on the 18th of May. Right away I noticed my nostrils were not even. When I went back to my doc the following day after surgury and addressed this with him he said my nostrils were probably uneven before the surgery, which is not the case. What should I do? What do you think ? I am panicking because it is now the 20th and although I know my nose is still swollen I don't believe my nostrils will change. What do you think?
(Questioner submitted photos)

Dr. Denenberg's answer: Go back to your doctor again.
Asymmetric swelling can cause visible asymmetries that go away if it's truly only the swelling that's asymmetric.

But you're only a couple days after surgery! Your doctor is the one who knows what happened during surgery, and you're kind of stuck with him for support right now. Call him again for another evaluation/pep talk.

Link to this question on RealSelf.com