• 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.)


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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: What's the best treatment for my mom? She wants to look younger, and has already had a rhinoplasty
This my mom she did a rhinoplasty before years ago and she doesn't feel good about her face and nose. Does she need a revison rhinoplasty? And does she need a face left..her doctor said she is too early for face left. She hates her face and i want her to feel good about her self what does she need to feel younger and prettier?
(Questioner submitted photos)

Dr. Denenberg's answer: Your mom could look better -- and younger -- with a revision rhinoplasty
Hi.
Your mom's rhinoplasty left her with a very long nose, and a long nose makes a face look older. Making a substantial elevation of the tip of the nose, even in a revision, is quite predictable, but only in the most expert of hands, so you must see before and after photos of a doctor's revision work in shortening noses before you hire a doctor.

Her nose could also be thinner, and the tip made less prominent from the front. See the attached video and the Web reference link for examples of what can be accomplished.

I tend to agree that it's hard to make a meaningful improvement in the face when the skin is still so thick and strong and smooth, and the neck line is so good. If I were your mom, I'd address the nose, and wait on the face!

Link to this question on RealSelf.com