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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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Questioner:
I Am Considering Having Rhinoplasty. However I Am Unsure As to What Results I Can Expect?
I am considering having rhinoplasty. I am currently researching doctors in the area to find which ones seem to do the best work. I would like to know what type of results I can expect in order to go in informed when I speak with them. I am not looking for a dramatic makeover, just some refining of the nostril area. Can I do this with just a tip plasty?
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose requires expert work on the tip. Be certain to see before and after photos
Hi. In many noses, work on the tip is most of the work that is done, so in your case there isn't really a meaningful difference between a "tip plasty" and a "rhinoplasty." See my "Web reference link for some morphs of your before and after photos. You have strong tip cartilages that show left and right prominences on your tip. The cartilages also make the columella, the piece between your nostrils, droop some, and they hold the tip of your nose out away from your face. Your nose requires real expert work on the tip to correct these features. It's crucial that you see before and after photos of the patients of the doctor you are considering, where wide or prominent tips were corrected. This is not something that every plastic surgeon can accomplish, and a diploma won't give you the answer -- only seeing the doctor's other patients will tell you if he has the skill.
Link to this question on RealSelf.com
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