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: I'm Looking into the Possibility of Plastic Surgery. Any Advice Based on my Picture?
I'm looking for any recommendations. I've always been self-concious about my looks, specifically about my nose and lower jaw/chin. I'm looking for outside opinions as what would help me look more attractive/symmetrical and rough estimates. I'm currently located in Central PA. Thanks in advance!
(Questioner submitted photos)

Dr. Denenberg's answer: Bring the nose closer to the face, take down the hump, strengthen the chin, and ...
Hi, I'll tell you what most of my patients would request with a nose and chin like yours. See my "Web reference" link for a morph of your profile. I brought the tip of your nose back closer to your face, and brought your chin out farther forward. Those movements tend to put the profile into what most people feel is better balance. You might feel so, too. Then, I took down the hump along the bridge of your nose. I also raised the tip just a tiny amount.

Bringing the nose tip closer to the face, what we call "de-projecting" the nose, involves complicated work on the tip cartilages. You must be sure you see before and after photos of your surgeon's other patients, showing that he was able to achieve for them what you want for yourself. That's the best way to do research when deciding on a surgeon.

Link to this question on RealSelf.com


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