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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and then he ultimately delivered. "

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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.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: What Should Be Done on my Nose Technically? What Can Be my Expectations?
My nose make me sick. I dont know much about rhinoplasty but l definitely want to get one done this year. My columella is huge, the tip too. The tip is my what l hate the most and theres no really good front nose job. What should be done to my nose? What should l expect to hear from my surgeon? Can it be small. (Plus my nose is slighty droopy and has a small hump and stick out to much of my face)
(Questioner submitted photos)

Dr. Denenberg's answer: In expert hands, your nose can have a large change
Hi. The main change to make in your nose is to raise the tip. Then, we would want to bring the nose back closer to your face, as you mentioned, and take down the hump. See my "Web reference" link for a couple of morphs that I made to your photos. Then the tip of your nose can be narrowed, too.

You have a couple of caution areas about your rhinoplasty. First, when the hump is taken down, it's important that the upper part of your nose, just underneath your eyebrows, be taken down as well. If it's not, then you might look like a Roman statue: too strong where the nose meets the forehead.

The other caution is that your nose can have a large elevation of the tip. You want a surgeon who can accomplish that. If only a small elevation is made, you nose will still look distinctly too long after surgery, and you'll be looking for a revision. Bringing the tip of the nose up, and bringing it back closer to the face, are changes that require advanced techniques on the tip cartilages. You must be certain to see before and after photos of the doctor's other patients, showing changes like the ones you want for yourself, so you can know that your doctor has the skill to make those changes. You can't get that assurance with diplomas and certificates. Many of the revision operations that I perform are shortening noses and bringing them back closer to the face, after those changes were not made enough in the first operation.

Link to this question on RealSelf.com


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